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Oklahoma’s
Community-Based Child Abuse Prevention Grant
Combined Report
FFY 2010 CBCAP Annual Report
FFY 2011 CBCAP Grant Application
June 6, 2011
CBCAP Annual Report and Application
1 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
Community-Based Child Abuse Prevention Grant
CBCAP
TABLE OF
CONTENTS
Section I Submission Letter 3
Section II Lead Agency Identifying Information 6
Section III State CEO Documentation and Assurances 7
Section IV Lead Agency Assurances 10
Section V Leveraged Claim Form 15
Section VI Budget 20
Section VII Description of the Lead Agency 23
Section VIII Actions to Advocate for Systemic Change 41
Section IX Collaboration and Coordination 59
Section X Criteria for Funded Programs 72
Section XI Outreach Activities for Special Populations 81
Section XII Plans for Parent Leadership and Involvement 86
Section XIII
Plan for Support, Training, Technical Assistance and
Evaluation Assistance 90
Section XIV Evaluation Plans 102
Section XV
Plan for Child Abuse Prevention Month and
Public Awareness Activities 112
Section XVI Challenges and Opportunities 119
Section XVII Certifications (Lobbying) 122
Section XVIII Attachments (available separately or by request)
Complete list of ATTACHMENTS associated with report listed on next page.
Appendices Appendix A
Oklahoma’s Community‐Based Child Abuse Prevention Network
A-03
Appendix B
Needs Assessment Report B-02
CBCAP Annual Report and Application
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Oklahoma State Department of Health
Submitted June 6, 2011
Section
XVIII
ATTACHMENTS
TABLE OF CONTENTS
Section XVIII Attachments (available separately or by request)
FOLDERS NAME OF ATTACHMENT
FOLDER 1
FAMILY SUPPORT &
PREVENTION SERVICE
(OSDH) PROGRAMS
1. START RIGHT (OCAP) PROGRAM
1) *Start Right Annual Report (SFY09)
2) Start Right Program Description Catalogue (SFY10 and 11)
3) Start Right Logic Model
4) Start Right (OCAP) ITB (SFY 2008 – 2012)
2. CHILDREN FIRST PROGRAM
1) Children First Annual Report (SFY10)
2) Children First Logic Model
3) Nurse‐Family Partnership Logic Model
4) Nurse‐Family Partnership Model Elements
3. CHILD ABUSE TRAINING AND COORDINATION (CATC)
1) CATC Report (2010)
2) CATC Training Calendar (2009 ‐ 2010)
3) CATC Training Calendar (2010 ‐ 2011)
4. CHILD GUIDANCE SERVICE
1) Child Guidance Annual Report (SFY10)
2) The Incredible Years Report (Tulsa)
*More current Start Right Annual Report not available due to lack of valid data.
FOLDER 2
HOME VISITATION
GROUP
HOME VISITATION LEADERSHIP ADVISORY COALITION (HVLAC)
1) Oklahoma HV Services Directory (created to accompany Period of Purple
Crying to hospitals)
2) HV Meeting Schedules
3) HV Meeting Agendas & Minutes
4) HV Safety Guidelines
5) HV Safety Guidelines PowerPoint Training Component
FOLDER 3
INTERAGENCY CHILD
ABUSE PREVENTION
TASK FORCE (ITF)
OKLAHOMA STATE INTERAGENCY CHILD ABUSE AND PREVENTION TASK FORCE (ITF)
1) ITF Meeting Schedules
2) ITF Meeting Agendas & Minutes
3) ITF Outstanding Child Abuse Prevention Awards (2010)
FOLDER 4
MISCELLANEOUS
ITEMS
MISCELLANEOUS ITEMS
1) Conference Information
2) Curricula Development (7 Challenges Family ToolKit)
3) Oklahoma Family Week Materials (corresponding with National Family Week)
4) Period of Purple Crying – Hospital Involvement
5) Oklahoma Family Month (JUNE) Tray Liners (corresponding with National
Family Month)
6) Evaluation Components
FOLDER 5
CAP MONTH AND
PUBLIC AWARENESS
CAP MONTH MATERIALS (2010)
1) 2010 CAP Month ToolKit and General Materials
2) 2010 Build A Blue Ribbon Tree Campaign
3) 2010 CAP Day at the Capitol Materials
SINGLE ATTACHMENTS
MISCELLANEOUS
1. CBCAP FINANCIAL STATUS REPORT (DECEMBER 2010)
2. CBCAP ANNUAL REPORT (FFY 2010)
3. OKLAHOMA STATE PLAN FOR THE PREVENTION OF CHILD ABUSE AND NEGLECT (2010 ‐ 2013)
4. PART WORKSHEETS
CBCAP Annual Report and Application
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Oklahoma State Department of Health
Submitted June 6, 2011
Section I SUBMISSION LETTER
CBCAP Annual Report and Application
4 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
CBCAP Annual Report and Application
5 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
CBCAP Annual Report and Application
6 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
Section II LEAD AGENCY IDENTIFYING
INFORMATION
In Response: Log No: ACYF‐CB‐PI‐11‐05
Date of Issuance: 06/06/2011
Lead Agency Name: Oklahoma State Department of Health
Community and Family Health Services
Family Support and Prevention Service
Mailing Address: 1000 Northeast 10th Street
7th Floor
Oklahoma City OK 73117‐1299
E‐Mail Address: Sheriet@health.ok.gov or Annettej@health.ok.gov
Fax Number: (405) 271‐1011
Agency’s Employer
Identification Number (EIN): 73‐6017987W
Data Universal Numbering System
(DUNS) Number: 14‐3673015
CBCAP Program Contacts: Sherie Trice, M.S., CCPS
CBCAP Grant Coordinator
Family Support and Prevention Service
(405) 271‐7611
Annette Wisk Jacobi, JD
Chief
Family Support and Prevention Service
(405) 271‐7611
CBCAP Fiscal Contact: Grace E. Brown
Chief
Accounting Services
(405) 271‐4042
Footnote: OSDH will provide timely notification to the Federal program officer if there are any
changes in the following lead agency information during the grant award period.
CBCAP Annual Report and Application
7 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
Section III
STATE CEO
DOCUMENTATION AND
ASSURANCES
CBCAP Annual Report and Application
8 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
CBCAP Annual Report and Application
9 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
CBCAP Annual Report and Application
10 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
Section VI LEAD AGENCY ASSURANCES
CBCAP Annual Report and Application
11 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
CBCAP Annual Report and Application
12 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
CBCAP Annual Report and Application
13 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
OKLAHOMA STATE DEPARTMENT OF HEALTH
ADMINISTRATIVE PROCEDURES MANUAL
TITLE: Tobacco‐Free Policy Number: 1‐8
Re‐issued: September 2010
RESPONSIBLE Revises: 1‐8, September 2001
SERVICE: Administration
APPROVED: _________________________
Terry Cline, Ph.D.
Commissioner of Health
OBJECTIVE: To eliminate all tobacco use indoors and outdoors on the premises of all
Oklahoma State Department of Health facilities including County Health
Departments, in state vehicles used for OSDH business, and by OSDH
personnel providing services in clients’ homes.
BACKGROUND: Tobacco use is Oklahoma’s leading preventable cause of death, and
exposure of nonsmokers to secondhand smoke is the third leading
preventable cause of death. Reduction of smoking and other forms of
tobacco use and protection of the public from involuntary exposure to
secondhand smoke are among the top priorities of the Oklahoma State
Department of Health as outlined in recent annual State of the State’s
Health Reports.
This policy is to help reduce tobacco use among this Department’s
employees and throughout Oklahoma, and it is not intended to be
punitive towards any OSDH employees. The Oklahoma State
Department of Health is committed to encouraging and providing
support to any OSDH employee who wishes to engage in a tobacco
dependency treatment program, within the Department’s available
resources.
The Oklahoma State Department of Health strives to be a leader in
protecting the health of our employees and everyone visiting our
facilities and to set a good example through the conduct of our
personnel by adopting the following tobacco‐free policy:
CBCAP Annual Report and Application
14 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
PROCEDURE: 1. The use of tobacco products shall be prohibited throughout all indoor
and outdoor areas of premises under the control of the Oklahoma
State Department of Health, in all vehicles on those premises, and in
state vehicles in use for OSDH business anywhere.
2. This policy applies to all employees, clients, visitors and others on
business at all Oklahoma State Department of Health premises.
3. The Central Office and each County Health Department or other
facility shall identify the boundaries of its premises, post this
information for public reference, and provide notice of this policy
with appropriate signage, including signs at the entrances to the
properties and/or other locations as needed.
4. County Health Departments and other facilities that share a building
with other offices shall eliminate tobacco use in their offices and from
all the indoor and outdoor premises under their control. They shall
encourage tobacco‐free policies for all tenants and throughout the
entire premises.
5. Tobacco product receptacles shall be removed from the premises,
including any ash cans near entryways.
6. OSDH employees shall not use tobacco products while providing
services in clients’ homes.
7. To the extent allowed by Oklahoma law, contracts to provide services
to the public on behalf of OSDH entered into on or after the effective
date of this policy shall require contractors to follow the tobacco‐free
policy of OSDH in performance of services for OSDH.
8. Violation of this policy by an OSDH employee shall be cause for
management/supervisor intervention and may result in corrective or
disciplinary action in accordance with the OSDH Administrative
Procedures Manual and state personnel rules.
CBCAP Annual Report and Application
15 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
Section V LEVERAGED CLAIM FORM
CBCAP Annual Report and Application
16 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
CBCAP Annual Report and Application
17 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
CBCAP Annual Report and Application
18 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
DOCUMENTATION OF LEVERAGED FUNDS
FOR FEDERAL MATCHING FUNDS
• The leveraged funds submitted are state funds appropriated for the preceding fiscal year
(October 1, 2009 – September 30, 2010) that were directed through the CBCAP lead agency
(OSDH).
• These funds were used to support community‐based and prevention‐focused programs and
activities designed to strengthen and support families to prevent child abuse and neglect.
• The state funds claimed as leveraged funds for this program have not been used to leverage
additional federal funds under any other program.
• Clarification of the Leveraged Funds Worksheet:
1. The “Amount of Claim” column only contains monies spent between 10/01/09 and
9/30/10.
2. The “Received” column indicates which state fiscal year the money was appropriated.
However, the entire fiscal year’s appropriation was not included in the “Amount of
Claim” column.
3. The “OCAP” refers to the Office of Child Abuse Prevention which was derived from
the Child Abuse Prevention Fund (CAP Fund). The money used to support the OCAP
Start Right Programs comes from the Child Abuse Prevention Fund (CAP Fund). The
CAP Fund was created by the Oklahoma Child Abuse Prevention Act as a mechanism
for pooling state, federal and private funds for the development and implementation
of community‐based family resource and support programs. Program proposals that
meet the guidelines and recommendations specified in the Oklahoma State Plan for
the Prevention of Child Abuse and Neglect, receive a multi‐layer multidisciplinary
review. The current requirements for the contractors are included in Attachment
Section of this Grant Application. Approved proposals are awarded contracts by the
Commissioner of Health and receive funding through the CAP Fund. The contractors
then provide home visitation services utilizing the Healthy Families “critical elements”
and the Parents as Teachers curriculum as well as center‐based services.
4. “Office of Child Abuse Prevention Administration (OCAP Admin)”: State
appropriations allow the Office of Child Abuse Prevention staff from the OSDH central
office to provide training, technical assistance, evaluation/assessment and quality
assurance/improvement to the contractors funded by the CAP Fund and contractors
funded by the CBCAP Grant.
5. “Child Guidance”: State appropriated dollars and county millage supports the staff
salaries and travel of the Child Guidance Service. The Child Guidance Service is an
OSDH program that focuses on strengthening families by promoting positive parent‐child
relationships and enhancing child development. Child development specialists,
speech language pathologists, psychologists, social workers and audiologists provide
multi‐disciplinary services including detection, education, support, and some
treatment of developmental, communication, hearing and behavioral concerns and
assists families in accessing resources.
CBCAP Annual Report and Application
19 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
6. “Children First”: The Children First Service is a statewide public health nurse home
visitation program offered through local health departments. The model utilized is
the Nurse‐Family Partnership Model. Services are provided at no cost to families
expecting to deliver and/or to parent their first child. Services are initiated before the
29th week of pregnancy and continue until the child turns two years of age. The
monies included on the Leveraged Funds Worksheet include staff salaries and travel
of those nurses delivering the service as well as the staff salaries and travel of those in
the OSDH central office that provide training, technical assistance,
evaluation/assessment and quality assurance.
7. “Child Abuse Training and Coordination Program (CATC)”: This Child Abuse Training
and Coordination Program (CATC) is mandated to make available multidisciplinary
and discipline‐specific training on the identification, reporting, investigation and
treatment of child abuse and neglect and domestic violence. CATC is advised by a 22‐
member council (CATCC). CATCC establishes multidisciplinary and discipline‐specific
guidelines and objectives and make curricula recommendations to other agencies
with professionals who have responsibilities for children, youth and families. The
funding listed on the Leveraged Funds Worksheet reflects the state dollars
appropriated for OSDH central office staff salaries and travel that support CATC.
8. “Heirloom Birth Certificates”: Develops statewide capacity, based on best practices,
to provide effective investigations through Multidisciplinary Child Abuse and Neglect
Teams at the local level. Increases access to multidisciplinary and discipline‐specific
training on the investigation, prosecution, and treatment of child abuse and neglect
and domestic violence. The Child Abuse Training and Coordination Program provides
free state‐of‐the‐art, discipline specific training and technical assistance for
professionals such as: Prosecutors, Judges, Private Attorney's, Law Enforcement,
Medical and Mental Health Providers, School Personnel, Child Welfare Workers,
Youth Services Workers, and Court Appointed Special Advocates. This training and
assistance help advance services available for addressing the needs of children in
abusive situations by increasing the expertise of Oklahoma professionals.
CBCAP Annual Report and Application
20 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
Section VI BUDGET
CBCAP Annual Report and Application
21 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
PROPOSED BUDGET
Federal Fiscal Year 2011 CBCAP Grant Application
ACTIVITY FEDERAL DOLLARS NON­FEDERAL
DOLLARS
Administration $ 61,770* $ 12,354
Community‐Based
Services
Non‐Home Visitation
(including Child Guidance Service –
The Incredible Years and Parent
Child Interaction Therapy) $ 18,000 $ 3,600
Community‐Based
Services
Home Visiting Service $ 69,185 $ 13,837
Evaluation $ 30,513 $ 6,103
Fatherhood $ 5,103 $ 1,021
Network Coordination $ 10,415 $ 2,083
Parent Leadership $ 10,257 $ 2,051
Public Awareness
(Including Child Abuse Prevention
Month materials) $ 8,000 $ 1,600
Respite Services $ 6,103 $ 1,221
Strengthening Families $ 38,480 $ 7,696
Training and
Technical Assistance $ 51,027 $ 10,205
TOTAL $ 308,853 $ 61,771
*This figure reflects the allowable 20% for administrative purposes.
Award amount and 20% state match based upon population‐based portion of the formula.
See Leveraged Funds Worksheet for supporting documentation.
CBCAP Annual Report and Application
22 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
BUDGET
• The budget for the development, operation, and expansion of the community‐based and
prevention‐focused programs and activities verifies that the State will spend an amount equal to
or more than 20% of the Federal funds received for Oklahoma’s grant award.
• The budget includes sufficient funds to send two representatives from Oklahoma to attend the
annual 3‐5 day federally initiated CBCAP Grantees Conference, a requirement of the grant and
no more than 20% of the available funds are allocated for administrative purposes.
• An amended budget will be submitted within 30 days of the grant award letter to reflect a 20%
match of the grant award. The activities and programs proposed in the application are
contingent upon the State receiving a grant award comparable to previous years’ awards.
CBCAP Annual Report and Application
23 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
Section VII
DESCRIPTION OF THE
LEAD AGENCY
…and the operation of the Network of Coordinated Community‐Based
and Prevention‐Focused Programs and Activities
CBCAP Annual Report and Application
24 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
State may also indicate one of the following:
􀀳 No changes from last year and no changes planned in the upcoming year.
__ Yes, there will be changes.
(NOTE: The FY2009 grant funding covers CBCAP activities conducted October 1, 2009 through September 30, 2010.
FY2009 funds are awarded in September 2009 for implementation in FY2010.)
LEAD AGENCY DESCRIPTION AND LEADERSHIP ACTIVITIES
􀂛 Annual Report Narrative
The Oklahoma Child Abuse Prevention Act
* THE OFFICE OF CHILD ABUSE PREVENTION (OCAP): In 1984, the Oklahoma Legislature passed the
Child Abuse Prevention (CAP) Act, Title 63 O.S. Section 1‐227. The CAP Act created the Office of Child Abuse
Prevention within the Oklahoma State Department of Health (OSDH) and defined the mechanisms by which
the OCAP would fulfill its duties and thereby create a statewide network of child abuse prevention programs
and activities. The OCAP provides primary, secondary and tertiary prevention services by: 1) providing family
support services through contracting agencies; 2) providing training to professionals working within family
support programs and/or the child welfare system and 3) technical assistance and reviews for the
multidisciplinary teams across the state.
THE INTERAGENCY CHILD ABUSE PREVENTION TASK FORCE (ITF): This statewide task force has a
mandated membership of representatives from a wide variety of public and private entities. The OCAP
provides the staff support for the ITF. As directed by the CAP Act, the ITF reviews and evaluates all
prevention program proposals submitted to the OCAP for funding and is integral in the development and
implementation of the Oklahoma State Plan for the Prevention of Child Abuse and Neglect, with a new plan
being submitted on a 5‐year cycle and reviewed annually.
THE CHILD ABUSE PREVENTION FUND: The CAP Act also created the Child Abuse Prevention (CAP)
Fund to provide for statewide child abuse prevention services. This fund is predominantly supported with
state appropriated dollars. However, the CAP Act does allow for federal and private funds to be deposited
into this fund. At this time, the only monies being deposited into the CAP Fund other than state
appropriations come from revenues from specialty license plates. The twenty‐two CAP Fund programs in
State Fiscal Year (SFY) 2010 (July 1, 2009 through June 30, 2010) constituted a large part of the statewide
network of community‐based, family support programs.
Historically, Oklahoma statute required that the state be divided into child abuse prevention “districts”, but
as reported, the “district” concept was eliminated in 2007. The CAP Fund will continue to be distributed by
formula set in statute utilizing both the percentage of children under the age of 18 and percentage of child
abuse and neglect reports per county. A multi‐level review process specified in the CAP Act is prescribed in
statute as well to assure that equity and fairness are part of the award process.
* Note: In 2008, the Office of Child Abuse Prevention (OCAP) adopted Start Right as the new name for all of
the contracted programs (formerly referred to as “OCAP Programs”). OCAP still exists as it continues its role
of administering the programs under the direction of the Family Support and Prevention Service (OSDH).
CBCAP Annual Report and Application
25 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
CBCAP FUNDED PROGRAM: In SFY 2010, the OSDH utilized CBCAP funds to continue their
intergovernmental agreement with the Chickasaw Nation. Through this agreement, the same services
provided by the Start Right Programs (CAP Funded programs) are provided to Chickasaw tribal members. In
SFY 2011, the OSDH will continue to utilize CBCAP funds in support of the Chickasaw Nation’s efforts related
to home visitation services and center‐based services.
The OCAP provides training, technical assistance, evaluation and assessment to the Start Right Programs,
including the program funded by CBCAP dollars.
SFY 2010/2011 START RIGHT PROGRAMS
District Name and Counties within the District Area
Agency Name Contract
Award $
District I: Pittsburg, Haskell, LeFlore, Latimer Counties
Pittsburg County Health Department $109,223
District II: Adair, Cherokee, McIntosh, Muskogee, Okmulgee, Sequoyah, Wagoner
Counties
Help��In‐Crisis, Inc. $123,469
Center for Children and Families, Inc. $142,235
District III: Cleveland, Coal, Garvin, McClain, Pontotoc Counties
McClain‐Garvin County Youth and Family Center, Inc. $109,223
District IV: Canadian, Kingfisher, Logan Counties
Oklahoma State University Cooperative Extension Service for Canadian County $120,319
District V: Hughes, Pottawatomie, Seminole Counties
Youth and Family Services for Hughes and Seminole Counties, Inc. $109,223
District VI: Caddo, Comanche, Cotton, Grady, Jefferson, Stephens Counties
Oklahoma State University Cooperative Extension Service for Cotton & Jefferson County $220,424
District VII: Oklahoma
Mary Mahoney Memorial Health Center $109,223
Exchange Club Center for the Prevention of
Child Abuse of Oklahoma, Inc. $271,919
Latino Community Development Agency, Inc. $181,278
District VIII: Greer, Harmon, Jackson, Kiowa, Tillman Counties
Great Plains Youth and Family Services, Inc. $109,223
District IX: Beckham, Blaine, Custer, Dewey, Roger Mills, Washita Counties
Great Plains Youth and Family Services, Inc. $109,223
District X: Beaver, Cimarron, Ellis, Harper, Texas, Woodward Counties
Oklahoma State University Cooperative Extension Service for Texas County $109,223
District XI: Creek, Lincoln, Okfuskee, Pawnee, Payne Counties
Sapulpa Public Schools $159,381
District XII: Tulsa County
CBCAP Annual Report and Application
26 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
Parent Child Center of Tulsa, Inc. $482,084
District XIII: Craig, Delaware, Mayes, Nowata, Ottawa, Rogers, Washington Counties
Washington County Child Care Foundation $115,730
Oklahoma State University Cooperative Extension Service for Delaware County $109,223
District XIV: Alfalfa, Garfield, Grant, Major, Woods Counties
Northwest Family Services, Inc. $109,223
District XV: Carter, Johnston, Love, Murray Counties
Community Children’s Shelter, Inc. $109,223
District XVI: Atoka, Bryan, Choctaw, Marshall, McCurtain, Pushmataha Counties
McCurtain County Health Department $109,223
District XVII: Kay, Noble, Osage Counties
Northern Oklahoma Youth Services Center and Shelter, Inc. $109,223
Federally Funded Programs
The Chickasaw Nation $115,000
Please see 1) APPENDIX A-26 - A-30 for Start Right (OCAP) details.
Please see 2) ATTACHMENT FOLDER 1: PROGRAMS/START RIGHT (OCAP) for related information & materials.
1) SFY09 Start Right Annual Report*
2) SFY10 & SFY11 Start Right Program Description Catalogue
3) Start Right Logic Model
4) Start Right ITB
*A SFY 2010 Annual Report for the Office of Child Abuse Prevention has not been completed and published due to
CBCAP Annual Report and Application
27 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
Related Networks, Related Activities
ANNUAL START RIGHT CONTRACTORS MEETING
The mandatory Annual Start Right Contractors Meeting was offered on two different dates via
videoconference broadcasting on the OSDH satellite network to Start Right and CBCAP program supervisors
and staff. Staff was allowed to attend the four hour meeting on July 19 or July 20, 2010. Review and updates
on financial and programmatic materials were presented.
RESPITE CARE
The CBCAP grant provided $20,000 for the implementation of respite care for families that were at‐risk of
child abuse and neglect. $18,500 of the total was assigned for actual respite vouchers for child care, and
$1,500 was for processing and administrative fees to the Oklahoma Department of Human Services for their
accounting services. Families from the Start Right Programs as well as the Children First Program (Oklahoma’s
Nurse‐Family Partnership) were eligible to participate based on an ‘identified need’ by their home visitor.
During FFY10, CAP Fund programs issued a set of vouchers valued at $100 and valid for three months to
‘in‐need families’ who were enrolled in home visitation services. A total of 180 families were issued respite
vouchers. Families were eligible to receive respite vouchers for three quarters of the fiscal year. Several
families were awarded vouchers in multiple quarters.
The Respite Care Program was designed to empower the family to be independent, making decisions about
who provided the respite care, when and where it was provided, and how much it would cost. The family was
responsible for interviewing, hiring, and evaluating their respite care providers. The respite funds were
administered through the Department of Human Services’ voucher system. The OCAP participated in the
Oklahoma Respite Resource Network meetings.
THE FRONT PORCH PROJECT (OSDH)
The Family Support and Prevention Service (FSPS) utilized CBCAP funds to invest in The Front Porch Project
(FP) during FY2010. The American Humane Association’s Front Porch Project is a national, research‐supported,
community‐based initiative built upon the belief that all people who are concerned about the
safety and well‐being of children in their communities need to be encouraged and taught to make a
difference. Evaluation results show 95% of those who participated in the Front Porch Project Community
Training agree that they feel more comfortable intervening with struggling parents or families and are more
likely to intervene than before the training. This concept is much the same as a good neighbor sitting on the
“front porch” who, in years past, would have been aware of and involved in solving problems affecting
families they knew. American front porches were more than convenient sitting places; they served as
networking centers where concerned friends could share information and devise support systems to help
each other through difficult times.
This is where the Front Porch Project comes in. It is their belief that it is time to bring citizens back into the
arena of child protection and abuse and neglect prevention. The goal of this program is to thoroughly affect
technical problems with the OCAP database. It would appear that the OCAP system needs major corrections in
programming or perhaps a completely new design. With a great deal of effort on the part of an epidemiologist,
Information Technology staff and the Start Right Contractors, a simple report of required programmatic numbers such as
number of screenings, assessments, families served, completed home visits, etc. was produced. Program effectiveness
was measured by these basic process measures and additional information gathered from record reviews, staff
interviews, and shadowing home visits during annual Contractor site visits.
CBCAP Annual Report and Application
28 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
large‐scale, enduring, systemic change, which includes leadership from the broader community as well as
other systems already in place. Empowering everyone to intervene early, the Front Porch Project helps
ensure that all children in every community will grow up with the healthy development they need to become
stable, contributing adults.
Twenty‐three people completed the two day Front Porch Community Training on January 20 and February
17, 2010 as well as the two day Front Porch Train‐the‐Trainer Training on February 18 and 19, 2010. The
OSDH/FSPS staff completed one Front Porch Community Training on September 10, 2010, which was during
FY2010 (with the second day falling in the next fiscal year, October 8, 2010). Individual workshops and
presentations introducing Front Porch have been provided to various target groups during FY2010. Shortly
after the training took place (with growing economic concerns), group leaders were challenged to provide
their own group, but many found it difficult with the cost of travel, personal job changes, and finding a
participants that would be available for two complete days. The FSPS continues to participate in quarterly
calls with the American Humane Association/Front Porch Project staff and other FP sites.
HOME VISITATION LEADERSHIP ADVISORY COALITION (HVLAC)
The Family Support and Prevention Service (FSPS) steers the efforts of the Home Visitation Leadership
Advisory Coalition (HVLAC) by convening, hosting, and facilitating home visitation meetings and providing this
as a networking opportunity. Members from various agencies and programs working at all levels, from
supervisory roles to the front lines, participate in this dynamic group that strives for best practice in home
visitation. Comprised of representatives from state agencies, such as the Oklahoma State University,
University of Oklahoma Health Sciences Center, public school districts, youth and family services agencies,
Prevent Child Abuse Oklahoma, parent‐child centers and other private non‐profits, the committee provides
recommendations to improve services. This group coordinates efforts throughout the year on various
activities related to child abuse prevention (for child abuse prevention month and advocacy, for example) and
best use of funds for those involved in home visitation for child abuse prevention, school‐readiness, child
abuse intervention and early intervention. They also address other critical issues as it relates to home
visitation. New in FY2010, this group was instrumental in guiding the efforts and making recommendations
on the Oklahoma Affordable Care Act (ACA) Federal Maternal, Infant, and Early Childhood Home Visiting
Program (MIECHV) Grant. Members benefit from sharing resources, learning about each other’s programs,
special speaker presentations, and collaborating on various projects. There were seven meetings attended by
over a hundred participants from across the state during FY10. HVLAC meetings took place (during FY 2010)
on November 18, 2009 and January 20, March 24, May 19, June 16, July 21, September 19 of 2010.
Membership recruitment targets community‐based, family support programs with a home visitation
component.
Highlights of the year’s HVLAC activities:
1. Reviewed, discussed, and provided directional input related to the Federal MIECHV Home
Visitation Grant. As an eclectic group of professionals representing a wide variety of
home‐visitation programs across the state, the HVLAC group was a natural fit to help
navigate the beginning implementation of the HV grant as an unbiased body, including
hearing presentations from specific home visitation programs as potential programs were
targeted in consideration for expansion. The group listened to presentations from
programs, such as, Oklahoma Parents as Teachers, Children First (Oklahoma’s Nurse‐
Family Partnership), Start Right Programs (OCAP), Project SafeCare as well as updates
throughout the year on the grant’s progress.
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2. Special Presentations from experts that provide services related to and important to home
visitation programs. A sampling of the topics/presenters from FY 2010 include:
a. The OSDH Child Guidance Warmline – a “warm line” utilized to provide
automated information on various topics as well as a personal
consultation from a professional in the field to child care providers.
b. Infant Safe Sleep – presented by Julie Dillard, OSDH SIDS/Infant Safe
Sleep Coordinator.
c. Healthy Families SafeCare Partnership – presented by the Oklahoma
Latino Agency regarding services provided to Oklahoma families.
d. Overview of the Oklahoma Newborn Hearing Screening Program –
presented by OSDH.
e. Other various speakers showcased their programs and brought helpful
information to the group.
3. Creation of the “Oklahoma Home Visitation Services Directory”. This new publication was
created to accompany the distribution of the “Period of Purple Crying” DVD’s to all
birthing hospitals in the state, a project that originated as part of the “Preparing for a
Lifetime, It’s Everyone’s Responsibility” Initiative to improve infant outcomes. The
“Abusive Head Trauma” subcommittee was derived from this group as well (for more
information see Section VIII – Systemic Change).
4. Continued sharing and distribution of the Home Visitors Safety Guidelines Manual. This
publication was a long‐term project developed by several of the HVLAC group members
with a focus on safety and home visitation. The manual continues to be distributed
electronically to various agencies and child abuse prevention programs across the state.
The publication was also used as a ‘model publication’ by interested parties outside of
Oklahoma, in both Nevada and West Virginia, who wanted to duplicate these efforts as
well as others who are pursuing using it as a template for their own state.
5. Continued sharing and distribution of the Home Visitors Safety Guidelines Training
PowerPoint and Video Guide (utilized as a supplemental component to the above
manual). Expert speakers on various topics related to safety and home visitation were
captured in this DVD/video series, outlining eight important topics (general safety
guidelines, mental health and substance abuse, methamphetamine usage, domestic
violence, child abuse reporting, gang involvement, firearms, and family assessment).
Both the manual and the PowerPoint are available via our website and the DVD is
available by written request.
6. A growing electronic listserv – enables easy contact with fellow home visitors to update
members on current and upcoming events as well as the sharing of timely information or
important news generated at local, state or national levels, which grew and proved
invaluable during the process of coordinating the Federal MIECHV Home Visitation Grant.
Please see Attachment Folder 2: HOME VISITATION LEADERSHIP ADVISORY COALITION (HVLAC)
for related information and materials.
1) Oklahoma Home Visitation Services Directory
2) Home Visitation Meeting Schedules
3) Home Visitation Meeting Agendas & Minutes (FY10)
4) Home Visitation Safety Guidelines
5) Home Visitation Safety Guidelines PowerPoint
THE OKLAHOMA STATE INTERAGENCY CHILD ABUSE PREVENTION TASK FORCE (ITF)
Oklahoma State Statute prescribes make up and responsibilities of the State’s Interagency Child Abuse
Prevention Task Force (ITF). Members from numerous agencies as well as three parent participants come
together to create the State’s Child Abuse Prevention Plan, to distribute the Oklahoma Child Abuse
Prevention Funds, and to guide current child abuse prevention efforts across the state. ITF meetings took
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place (during FY2010) on October 2, 2009 and January 8, March 26, May 21, August 13 of 2010. During
FY2010, this was another group that was a cog in the wheel of guiding the efforts and making
recommendations regarding the Oklahoma Affordable Care Act (ACA) Federal Maternal, Infant, and Early
Childhood Home Visiting Program (MIECHV) Grant.
Highlights of the year’s activities:
1. Reviewed, discussed, and provided directional input related to the Federal MIECHV Home
Visitation Grant. As an eclectic group, the ITF was an unbiased body of professionals that
assisted throughout the process of phases I and II of the MIECHV grant, including hearing
presentations from specific HV programs as potential programs were targeted for
consideration for expansion. Program presentations included Oklahoma Parents as
Teachers, Children First (Oklahoma’s Nurse‐Family Partnership), Start Right Programs
(OCAP), Early Head Start, and Project SafeCare as well as reviewed and received updates
throughout the year on the grant’s progress.
2. The comprehensive Oklahoma State Plan for the Prevention of Child Abuse and Neglect.
Gathering information and feedback through the work of many, the comprehensive
Oklahoma State Plan for Child Abuse and Neglect was reviewed, edited, reworked, and
finally completed, which was another primary focus throughout the year.
3. Special presentations from key child abuse prevention experts on current trending topics
were provided during the year. Some of the topics/presenters from FY2010 included:
a. “Domestic Violence and Children” – Tamatha Mosier, Oklahoma Attorney General’s
Office and ITF Member
b. “Oklahoma Department of Human Services (OKDHS) Practice Model” – Afton
Wagner, OKDHS
c. “Reframing Child Abuse Prevention” – Jim McKay, State Coordinator, Prevent Child
Abuse West Virginia (via videoconferencing)
ITF Recognizes Excellence in Child Abuse Prevention with Awards (Annually)
Every year, the ITF along with the Office of Child Abuse Prevention (OCAP) seek nominations for worthy
candidates who have demonstrated outstanding commitment and dedication to child abuse prevention in
Oklahoma. Over the years, these awards have been presented in conjunction with the Annual Child Abuse
and Neglect and Healthy Families Conference during their opening session as they were again during FY2010.
The four awards recognized:
1. Outstanding Elected Official Award, which is given to recognize an elected official for distinguished
service on behalf of children and families in Oklahoma.
2. Marion Jacewitz Award, which is given to recognize an individual in Oklahoma who has made
significant contributions to the prevention of child abuse on a statewide level.
3. Outstanding Child Abuse Prevention Program Award, which is given to recognize an exceptional
community program that has an emphasis in child abuse prevention.
4. Mary Ellen Wilson Award, which is given to recognize an individual who has demonstrated
outstanding commitment and dedication to child abuse prevention activities in his or her community.
Please see ATTACHMENT FOLDER 3: ITF for related information and materials.
1) ITF Meeting Schedules
2) ITF Meeting Agendas and Minutes (FY10) 3) ITF Awards Packet and Materials (FY 10)
􀂛 Section VII. Application Narrative (continued on next page)
(NOTE: In an effort to avoid duplication, please also see Annual Report Narrative above and Collaboration and
Coordination Sections)
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Oklahoma State Department of Health
Submitted June 6, 2011
DESCRIPTION OF THE LEAD AGENCY
OKLAHOMA STATE DEPARTMENT OF HEALTH
The Oklahoma State Department of Health (OSDH), a public entity, is the lead agency responsible for
administering the CBCAP funds and providing oversight to funded programs. OSDH is comprised of 68 county
health departments and one central office. It is responsible for protecting, maintaining and improving the
public's health status. Because of its size and diverse programming, OSDH is in a unique position to seek
innovative approaches to coordinating funding streams and other resources to enhance the CBCAP funded
services and activities.
COMMUNITY AND FAMILY HEALTH SERVICES
Community and Family Health Services (CFHS) is one of the primary service areas within the OSDH. The
mission is to protect and promote the health of the citizens of Oklahoma by assessing health status,
establishing evidence‐based priorities and providing leadership to assure the availability of individual and
population‐based health services. Oklahoma currently has 68 county health departments and two
independent city‐county health departments serving 77 counties. Each department offers a variety of
services such as immunizations, family planning, maternity education, well‐baby clinics, adolescent health
clinics, hearing & speech services, child developmental services, environmental health, the early intervention
program and community development activities.
Located within Community and Family Health Services are the following distinct services:
1) Child Guidance ‐ programs designed to promote optimal child development, healthy behavior and
effective interaction for families and children; as well as those who work with young children.
2) Maternal and Child Health ‐ programs that provide state leadership to improve the physical and
mental health, as well as safety and well‐being of the Oklahoma maternal and child health
population.
3) SoonerStart ‐ an early intervention program designed to meet the needs of infants and children with
disabilities and developmental delays.
4) Women, Infants and Children (WIC) ‐ a program to provide nutrition education and food resources to
low‐income pregnant and postpartum women and their young children.
5) Dental ‐ provides leadership in oral disease prevention, anticipates needs and mobilizes efforts that
will help protect and promote good oral health.
6) Family Support and Prevention Service ‐ programs that promote the health and safety of children by
reducing violence and child maltreatment through public education, multidisciplinary training of
professionals and the funding of community‐based family support programs.
7) Community Development Service ‐ programs that promote Health Equity & Resource Opportunities
(HERO), health promotion, minority health, primary care, rural health development and community
development through the Turning Point initiative.
8) Nursing Service ‐ to promote, protect, and preserve the health of our citizens through optimal public
health nursing services, leadership, education, and advocacy.
9) Records Evaluation and Support Division ‐ provides support services to county health department
administrators, including Forms Committee, quality assurance chart reviews and technical support
with OSDH developed software, such as the Public Health Oklahoma Client Information System
(PHOCIS), clinic management system and financial reporting software.
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Oklahoma State Department of Health
Submitted June 6, 2011
CBCAP Annual Report and Application
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Oklahoma State Department of Health
Submitted June 6, 2011
FAMILY SUPPORT AND PREVENTION SERVICE
The Family Support and Prevention Service mission is to promote health and safety of children and families by
reducing violence and child maltreatment through public education, multidisciplinary training of professionals
and the funding of community‐based family resource and support programs. Located within the Family
Support and Prevention Service are five major programmatic efforts in reducing child abuse and neglect:
1) Children First ‐ a public health nurse home visitation program utilizing the Nurse‐Family Partnership
Model; serves first‐time, low‐income mothers.
2) Child Abuse Training and Coordination Program ‐ a program to facilitate multidisciplinary and
discipline‐specific training and the development of multidisciplinary teams across the state.
3) The Office of Child Abuse Prevention ‐ an office that provides leadership in establishing the State’s
comprehensive statewide approach towards the prevention of child abuse by educating the public,
training professionals and funding local community‐based programs. The OCAP staff is diverse and
consists of child development specialists, social workers, adult education experts, program evaluators
and public health professionals. The OCAP was established in 1984 and has always been housed at
the OSDH.
4) Community‐Based Child Abuse Prevention Grant ‐ funds that allow community‐based organization to
develop, operate and expand their services; funds that support networks that work towards
strengthening families; and funds that foster understanding, appreciation and knowledge of diverse
populations.
5) Strengthening Families ‐ this initiative works with child care, child welfare, and early childhood
programs to infuse evidence‐based Protective Factors into their systems work and to build supportive
relationships between professionals and parents as a way to strengthen parent‐child interactions and
reduce the potential for harmful parenting behaviors.
Family Support & Prevention Service Organizational Chart
(updated May‐2011)
CBCAP Annual Report and Application
34 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
SUPPORTIVE STRUCTURE OF THE NETWORKS OF
CHILD ABUSE PREVENTION SERVICES AND ACTIVITIES
THE CHILD ABUSE PREVENTION ACT
In 1984, Oklahoma passed the Child Abuse Prevention Act (CAP Act), Title 63, O.S. Supp. 2004, Section 1‐227.
Prior to that time, the focus of child abuse and neglect efforts was on “after‐the‐fact” intervention
(i.e. preventing the reoccurrence of child abuse and neglect in families). The Act declared that the prevention
of child abuse and neglect was a priority in Oklahoma. The legislative intent was that:
• a comprehensive approach for the prevention of child abuse and neglect be developed
for the state and used as a basis of funding programs and services statewide;
• multi‐disciplinary and discipline‐specific ongoing training on child abuse and neglect and
domestic violence be available to professionals in Oklahoma with responsibilities affecting
children, youth, and families; and
• the Office of Child Abuse Prevention (OCAP) within the Oklahoma State Department of
Health (OSDH) was created for the purpose of establishing a comprehensive statewide
approach towards the prevention of child abuse and neglect.
The CAP Act created the Child Abuse Prevention (CAP) Fund for the provision of community‐based child abuse
prevention programs. The Act established the Interagency Child Abuse Prevention Task Force (ITF) and
statewide District Child Abuse Prevention Task Forces (DTF) that have collaboratively worked with the OCAP
and with local community‐based, prevention‐focused, child abuse prevention programs from the prevention
network in the past. In July 2007, the law was updated, eliminating district task forces as being a mandatory
requirement although an emphasis on local input remains a priority via pre‐existing community networks,
local partnerships, and local task force initiatives.
The ITF is composed of representatives from state agencies, the business community, parent participants of
family support programs, child abuse prevention service providers from the private and public sector and
professionals from the medical, legal and mental health fields. The ITF and OCAP prepare the Oklahoma State
Plan for the Prevention of Child Abuse and Neglect (see attachment ‘Ok State Plan 2010 – 2013’), which is a
compilation of findings, recommendations and a plan for the continuum of comprehensive child abuse
prevention services in Oklahoma. ITF members (including parent representatives), service providers, child
advocates and program participants participate in the creation of the State Plan.
The Oklahoma Commission on Children and Youth (OCCY) is the state agency that provides oversight of all
services for children in the State, including the State Plan and contract awards for Community‐Based Child
Abuse Prevention Programs. With the direction and recommendations of the State Plan, the ITF, OCAP, other
OSDH family resource and support programs, other state agencies and other services providers provide a
coordinated, collaborative continuum of services to prevent child abuse and neglect. Community‐Based Child
Abuse Prevention program proposals are peer reviewed at the local and ITF levels. The approved
Community‐Based Child Abuse Prevention programs sign contracts with the OSDH to provide services.
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Oklahoma State Department of Health
Submitted June 6, 2011
HOW THE STRUCTURE DIRECTS THE PREVENTION NETWORK
An illustration of the structure is presented, followed by descriptions of each segment of the
structure.
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Oklahoma State Department of Health
Submitted June 6, 2011
THE OFFICE OF CHILD ABUSE PREVENTION
The Oklahoma Child Abuse Prevention Act (CAP Act) created The Office of Child Abuse Prevention (OCAP)
within the Oklahoma State Department of Health and defined the mechanisms by which the OCAP could fulfill
its duties. The Commissioner of Health has fiscal and administrative duties to facilitate the implementation of
the CAP Act. The duties and responsibilities of the Director of the OCAP are outlined in the CAP Act. The
OCAP provides primary (statewide promotion of child abuse prevention), secondary (community‐based family
resource and support programs) and tertiary (training of professionals on identifying, reporting, investigating,
and prosecuting child abuse and neglect) prevention services. The OCAP staff have formal education, training
and/or expertise in the areas of prenatal health, child health and development, child safety, adult education,
parent advocacy, fatherhood involvement, local social service resources, respite systems, program evaluation,
family assessment, family support, Healthy Families America® approach, early childhood education,
professional development, public awareness, child abuse and neglect prevention, and intervention.
THE INTERAGENCY CHILD ABUSE PREVENTION TASK FORCE
The Interagency Child Abuse Prevention Task Force (ITF) has a mandated membership of representatives
from: 1) public agencies with responsibilities for children and families, such as the Department of Health,
Department of Education, Department of Human Services, Department of Mental Health and Substance
Abuse, Office of the Attorney General and Judiciary/Law Enforcement agency; 2) private organizations such as
the American Academy of Pediatrics and the Oklahoma Partnership for School Readiness Board; 3) private
agencies and programs that specialize in the identification and intervention of child abuse and neglect; 4)
local government or business community; and 5) parents participating in a family resource and support
program. The Task Force is staffed by the OCAP. As directed by the CAP Act, the ITF reviews and evaluates all
prevention program proposals submitted to the OCAP for funding through the CAP Fund, reports findings to
the Oklahoma Commission on Children and Youth and makes recommendations to the Commissioner of
Health, the final authority for contract awards. The ITF with its broad representation and expertise assist the
OCAP in the development of the State Plan.
ITF Recognizes Excellence in Child Abuse Prevention with Awards (Annually)
Every year, the ITF along with the Office of Child Abuse Prevention (OCAP) seek nominations for worthy
candidates who have demonstrated outstanding commitment and dedication to child abuse prevention in
Oklahoma. Over the years, these awards have been presented in conjunction with the Annual Child Abuse
and Neglect (CCAN) and Healthy Families Conference during their opening session as they were again during
FY2010. However, with the CCAN conference growing less ‘prevention’ in nature over the years, the ITF
recently voted to move the Outstanding Child Abuse Prevention Awards to the annual Child Abuse Prevention
Day at the Capitol held every April, beginning in 2011, which will also continue in 2012. The group felt as
though this would be an incredible opportunity and more appropriate venue to highlight prevention and
honor the tremendous work being done in our state. In fact, our first year of moving the awards occurred last
month (April 2011) with the awards being presented following the Press Conference for CAP Day at the
Capitol, which seemed to be a huge success with media present to capture the event.
STATE PLANNING RETREAT
During the beginning of FFY2011, plans are underway to host a full day retreat for the Interagency Child
Abuse Prevention Task Force (including critical partners) to work on creating OCAP’s next ‘Invitation to Bid’
for the CAP funded programs that are distributed across the state. Currently, the Start Right (OCAP)
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Submitted June 6, 2011
programs will be beginning their final year (beginning July 2011) of a five year cycle. The bids will be
developed with a “comprehensive system” in mind, including how to pool programmatic resources (multiple
programs sharing staff, trainings, etc.) and expertise to stretch funding as much as possible.
THE CHILD ABUSE PREVENTION FUND
The CAP Fund was created by the CAP Act as a mechanism for pooling state, federal and private funds for the
development and implementation of community‐based family support programs for the prevention of child
abuse and neglect. Program proposals go through a multi‐layer, multidisciplinary review. Approved
proposals are awarded contracts by the Commissioner of Health and receive funding through the CAP Fund.
The OCAP provides training, technical assistance, evaluation and assessment to the CAP Fund community‐based
family support prevention programs, including programs funded by CBCAP dollars.
OKLAHOMA STATE PLAN FOR THE PREVENTION OF CHILD ABUSE AND NEGLECT
The State Plan, written by the ITF and the OCAP, is a compilation of findings, recommendations and efforts
spanning the continuum of child abuse and neglect prevention in Oklahoma. It is written with the
acknowledgment that the prevention of child abuse and neglect requires collaboration, coordination and
commitment of public agencies, private agencies, private citizens, prevention and intervention professionals
and the legal system. With this community approach for the prevention of child abuse and neglect, a draft of
the State Plan is distributed statewide for comments to other public and private service providers, child
advocacy agencies and private citizens.
OKLAHOMA COMMISSION ON CHILDREN AND YOUTH (OCCY)
Oklahoma law created the Oklahoma Commission on Children and Youth (OCCY), a state agency, to develop
and improve services to children and youth. The OCCY facilitates planning and coordination among public
and private agencies serving children and youth and provides administrative oversight for all children’s
programs and services. OCCY is mandated to ensure that the provisions of the CAP Act are implemented. Its
duties include: 1) the review and approval of the Oklahoma State Plan for the Prevention of Child Abuse and
Neglect; 2) the appointment of ITF members; 3) the appointment of CATCC members; and 4) the
recommendations of prevention program proposals for funding to the Commissioner of Health.
STATE EARLY CHILDHOOD COMPREHENSIVE SYSTEMS (ECCS)
The Oklahoma State Department of Health (OSDH) Early Childhood Comprehensive Systems (ECCS) Project
works collaboratively with the Oklahoma Partnership for School Readiness (OPSR) Board and Smart Start
Oklahoma (SSO) to implement the Early Childhood Comprehensive State Plan. The mission of OPSR and ECCS
is to lead Oklahoma in coordinating an early childhood system focused on strengthening families and school
readiness for all children. If successful, it will be possible for all families with young children across the state
to access services when needed in the areas of parent education and family support, primary health care,
social and emotional support, and quality early care and education. The implementation of the early
childhood comprehensive state plan will help achieve the vision of all Oklahoma children entering school as
being safe, healthy, eager to learn and ready to succeed.
CBCAP Annual Report and Application
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Oklahoma State Department of Health
Submitted June 6, 2011
CHILD ABUSE TRAINING AND COORDINATION PROGRAM (CATC)
As a part of the continuum, multidisciplinary and discipline‐specific training programs for professionals with
responsibilities affecting children, youth, and families are mandated responsibilities of the Child Abuse
Training and Coordination Program (CATC). This program provides training, technical assistance and
assessment of the developing and functioning county‐level multidisciplinary child abuse and neglect teams
throughout the state and improves education and training of professionals with responsibilities for children
and families. The CATC program works with the Child Abuse Training and Coordination Council (CATCC) and
Multidisciplinary Child Abuse and Neglect Teams (MDTs). Funding for the CATC Program and Council is
provided through state appropriations and the Children’s Justice Act Grant, a collaborative effort with the
Oklahoma Department of Human Services.
CHILD ABUSE TRAINING AND COORDINATION COUNCIL (CATCC)
Defined by the CAP Act, CATCC has the mandate to make available multidisciplinary and discipline‐specific
training on child abuse and neglect for professionals with responsibilities affecting children, youth and
families. The CATCC members (22 in all) establish multidisciplinary and discipline‐specific training guidelines
and objectives and make curricula recommendations to other agencies with professionals who have
responsibilities for children, youth and families.
In conjunction with the CATCC, the CATC program facilitates the multidisciplinary and discipline‐specific
trainings. The CATC Program provides training to child protective services, law enforcement, district
attorneys, judges, medical personnel, mental health consultants and other professionals. Specific trainings
have included: “Investigating Severe Neglect and Physical Injury of Children and Infants”, “Taking Your
Investigation to the Courtroom” and “Advanced Forensic Interviewing.”
Examples of partnerships of the CATC program are as follows: assists the Oklahoma Lawyers for Children Fall
and spring trainings, the Oklahoma District Attorney’s Office Annual Summer Conference, Oklahoma
Association for Infant Mental Health Conference, the Oklahoma Department of Mental Health and Substance
Abuse and the 18th Oklahoma Conference on Child Abuse and Neglect and Healthy Families.
The CATC Program is expanding efforts to include children that witness Domestic Violence or Domestic
Violence homicides and Human Trafficking.
CBCAP Annual Report and Application
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Oklahoma State Department of Health
Submitted June 6, 2011
DESCRIPTION OF HOW PROGRAMS AND ACTIVITIES
WILL OPERATE AND BE INTEGRATED
The OCAP will assume the leadership position, having the responsibility for directing the network of partnerships
and continuum of prevention services for children and families. The OCAP with its partners in the prevention
network of community‐based, prevention‐focused child abuse prevention programs coordinates resources
with many programs within OSDH, other agencies, and organizations, both public and private, including faith‐based
to maximize resources and to reach unduplicated populations in need. The OCAP will promote
collaborative efforts by state and community agencies through formal and informal networking opportunities
and efforts. The state legislative purpose for creating the OCAP was to develop and promote a collaborative,
comprehensive approach to the continuum of child abuse and neglect prevention services and programs.
There are many programs and services available in Oklahoma that in some way impact upon child abuse and
neglect and associated risk factors. Few programs were designed with the prevention of child abuse and
neglect as the primary outcome. More programs were designed to increase school‐readiness or improve the
health outcomes of mother and baby, but national evaluations found that they also decreased risk factors
related to child abuse and neglect. Many of the programs and services contain home visitation components.
OCAP seeks to build partnerships with the various programs, services, and organizations that will promote a
comprehensive and collaborative continuum of child abuse prevention. OCAP has many partners in the
prevention network. Partners and examples of the collaborative efforts, commenced and planned, are
presented in the following paragraphs.
COUNTY HEALTH DEPARTMENTS
There are 68 county health departments with 20 additional satellite service clinics and two city‐county health
departments. Two county health departments received CAP fund monies in SFY 2010 for child abuse
prevention programs (Pittsburg and McCurtain Counties). County health departments provide health services
such as early intervention, family planning, maternity clinics, acute disease, sexually transmitted disease, WIC
services, nurse home visitation services (Children First) and child guidance services (see appendix page A‐22
for regional sites). The county health departments refer families to the child abuse prevention programs in
the area. Conversely, the OCAP‐funded programs make referrals to the county health departments for
families to receive needed services. Several county health departments provide leadership, participation, and
support for the promotion of child abuse prevention and activities related to strengthening families.
Initiatives with the county health departments include the Child Abuse Prevention Month activities and
networking during the local program site visits.
Three health department programs, Children First, Child Guidance, and SoonerStart are an integral part of the
prevention of child abuse and neglect. See the following sections for more information about these
programs. Federal funds and other state funds provide collaborative efforts in training, education and service
delivery. Examples include sponsoring scholarships for personnel to the Oklahoma Annual Child Abuse and
Neglect Conference, child abuse and neglect identification and reporting training sessions, the annual Family
Matters Conference and other networking opportunities.
CBCAP Annual Report and Application
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Oklahoma State Department of Health
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(NOTE: In an effort to avoid duplication, please also see Collaboration and Coordination section)
Please see Appendix A OKLAHOMA CHILD ABUSE PREVENTION NETWORK for further OSDH program details.
1) APPENDIX A-11 (MDT’s) and APPENDIX A-62 (CAC’s) for further details.
1. START RIGHT PROGRAMS (OCAP)
a) A-26 START RIGHT PROGRAM (MAIN PAGE)
b) A-28 START RIGHT PROGRAM (CENTER-BASED SERVICES)
c) A-29 START RIGHT PROGRAM (CIRCLE OF PARENTS)
d) A-30 START RIGHT PROGRAM LOGIC MODEL
2. CHILDREN FIRST PROGRAM
a) A-31 CHILDREN FIRST (MAIN PAGE)
b) A-33 CHILDREN FIRST PROGRAM LOGIC MODEL
c) A-34 NURSE FAMILY PARTNERSHIP LOGIC MODEL
3. CHILD GUIDANCE SERVICES
a) A-21 CHILD GUIDANCE SERVICES (MAIN PAGE)
b) A-25 CHILD GUIDANCE SERVICES – THE INCREDIBLE YEARS
c) A-51 CHILD GUIDANCE SERVICES – PARENT CHILD INTERACTION THERAPY
4. A-48 SOONERSTART EARLY INTERVENTION
5. A-11 MULTIDISCIPLINARY TEAMS (MDT’s)
6. A-62 CHILD ADVOCACY CENTERS (CAC’s)
CBCAP Annual Report and Application
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Oklahoma State Department of Health
Submitted June 6, 2011
Section VIII ACTIONS TO ADVOCATE
FOR SYSTEMIC CHANGE
CBCAP Annual Report and Application
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Oklahoma State Department of Health
Submitted June 6, 2011
ACTIONS TO ADVOCATE FOR SYSTEMIC CHANGE
􀂛 Annual Report Narrative
HOME VISITATION LEADERSHIP ADVISORY COALITION (HVLAC)
NOTE: In an effort to avoid duplication, the narrative has been omitted here. Please see previous section.
OKLAHOMA STATE INTERAGENCY CHILD ABUSE PREVENTION TASK FORCE (ITF)
NOTE: In an effort to avoid duplication, the narrative has been omitted here. Please see previous section.
OKLAHOMA STRENGTHENING FAMILIES INITIATIVE
NOTE: In an effort to avoid duplication, the narrative has been omitted here. Please see next section.
AFFORDABLE CARE ACT
MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING GRANT
The Maternal, Infant, Early Childhood Home Visiting (MIECHV) Program is a federally funded initiative
designed to increase and enhance home visiting services being provided to pregnant women, infants, and
young children who are at‐risk. The goals of the program include promoting maternal, infant and early
childhood health, safety, and development, as well as strong parent‐child relationships. With this new
opportunity came much enthusiasm and hope from those in the field with it being a rare opportunity at
growth and expansion for vital services that are rare, especially in the current economic climate.
The OSDH was designated by the Governor as the lead agency for this grant. With both the Home Visitation
Leadership Advisory Coalition and the Oklahoma Interagency Child Abuse Prevention Task Force already in
place, Oklahoma was fortunate in having key groups to navigate, guide, assist and make recommendations
throughout the grant process. Target home visitation programs showcased their programs and provided
information on target audience, measurable outcomes, etc.
This grant includes three phases, two of which have been completed at this time (submitting a 1) project
narrative and 2) needs assessment). Results of the Needs Assessment identified the top ten counties in
Oklahoma (see map in Appendix A) based on the indicators provided. Two counties will be the current focus
of the Oklahoma efforts (Kay and Garfield Counties) with the hope to expand.
FSPS Staff are currently working to complete the last phase with the Oklahoma Home Visiting Updated Plan
due on June 8, 2011. In this phase, Oklahoma has chosen to expand three existing home visiting models
within Kay and Garfield counties, Children First: Oklahoma’s Nurse‐Family Partnership; Start Right (utilizing
Healthy Families America) and Parents as Teachers.
In addition to the expansion of home visiting services, the Plan includes contracts with a community‐based
organization in each county to fund a part‐time person to accomplish the following tasks: 1) Market the
home visitation programs to potential referral sources such as hospitals, health clinics, schools, social service
agencies, faith‐based groups, etc.; 2) Serve as a central point of contact for referrals and assure that the
referrals are provided to the appropriate home visitation program; and 3) Routinely convene the home
visitation programs so that they can staff referrals if necessary and share information about community
resources and services.
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Oklahoma State Department of Health
Submitted June 6, 2011
PREPARING FOR A LIFETIME CAMPAIGN
This statewide initiative to improve birth outcomes and reduce infant deaths in Oklahoma focuses on seven
specific areas: preconception and interconception care (being healthy before and between pregnancies),
tobacco use prevention, prematurity, postpartum depression, breastfeeding, infant safe sleep, and infant
injury prevention. Using state and community‐based level partnerships (including FSPS staff), strategies
include public education, policy change, and support of health care providers and birthing hospitals through
training and technical assistance.
The infant mortality rate, defined as the number of deaths to infants less than one year of age per 1,000 live
births, is one of the most important indicators of the health of Oklahoma and the nation. It is associated with
a number of factors such as maternal health, parenting practices and socioeconomic conditions.
The top three causes of infant mortality in Oklahoma are congenital defects, disorders related to low birth
weight and short gestation and Sudden Infant Death Syndrome. Although child abuse and neglect may not be
listed as one of the specific top three causes of infant death, some of the same positive parenting practices
that often keep parents from being abusive or neglectful are the same behaviors that decrease the likelihood
of a child dying during infancy from a variety of causes.
The Oklahoma State Department of Health Commissioner’s Action Team on Reduction of Infant Mortality was
convened in May 2007. It has expanded to engage state and community partners in a statewide initiative,
“Preparing for a Lifetime, It’s Everyone’s Responsibility,” with strategic planning, data analyses and targeted
interventions. Example subject matters being addressed include breastfeeding, premature births, smoking
during pregnancy, infant safe sleep practices and preventing infant injuries – many subject matters that
overlap with child maltreatment prevention. The ‘Injury Prevention WorkGroup’ was developed during this
process and made the decision to target “Abusive Head Trauma” as one of their first projects, which was also
gaining momentum with the Oklahoma legislature.
SHAKEN BABY PREVENTION EDUCATION TASK FORCE
INJURY PREVENTION WORKGROUP ­­PERIOD
OF PURPLE CRYING PROJECT
Almost simultaneously, House Bill 2920 passed legislation in 2010, requiring the establishment of a Shaken
Baby Prevention Education Task Force. The purpose of the task force was to identify evidence‐based models
for reducing the incidence of abusive head trauma in infants in Oklahoma. Prior to this legislation being
passed, the Injury Prevention WorkGroup of the Preparing for a Lifetime Initiative identified this as a priority
to be addressed (seen earlier section above), creating a plan to work with all birthing hospitals in Oklahoma
to offer the “Period of Purple Crying”. Collaborating closely with the Oklahoma Hospital Association, the
University of Oklahoma Health Sciences Center, the Office of Perinatal Quality Improvement and Medical
Center Trauma Unit, the group chose the Period of Purple Crying materials to distribute to Oklahoma birthing
hospitals along with other resources. Materials were purchased to assure that all parents of newborns
receive a packet for one full year (60,000 Period of Purple Crying DVD’s).
Materials for hospitals agreeing to participate included:
• Program Description and Protocol – step by step implementation guide;
• Training on how to offer the Period of Purple Crying;
• Period of Purple Crying DVD – for new parents to view at the hospital and take home;
• Information Booklet about the Period of Purple Crying;
• Parent Acknowledgement Statement;
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• Client Release Form – for contact by local provider, as indicated;
• Oklahoma Home Visitation Services Directory – a complete listing of all Oklahoma home visitation
programs for young children with a description of the program and target group, listed by county.
THE OKLAHOMA HEALTH IMPROVEMENT PLAN (OHIP)
THE OKLAHOMA CHILDREN’S HEALTH IMPROVEMENT PLAN (OCHIP)
THE OKLAHOMA STATE PLAN FOR PREVENTION OF CHILD ABUSE AND NEGLECT
Working in concert... The Oklahoma State Department of Health, along with its numerous partnering
agencies and organizations, developed the Oklahoma Health Improvement Plan in 2009. Many key priorities
and outcomes that will support health improvement throughout the state are outlined in the OHIP. The OHIP
was mandated by the Oklahoma Legislature in 2008 by Senate Joint Resolution 41 and directed the State
Board of Health to prepare a report that outlined a plan for the “general improvement of the physical, social
and mental well being of all people in Oklahoma through a high‐functioning public health system.”
The OHIP addresses improving health outcomes in three targeted “flagship initiatives”:
1. Tobacco use Prevention
2. Obesity Reduction
3. Child Health
These flagship issues tie closely to the efforts of the prevention of child abuse. An example of the overlap
between the OHIP and child abuse prevention is found in Oklahoma’s home visiting programs. Home
visitation programs provide education on a myriad of parenting and health‐related topics as well as referrals
that directly impact the flagship issues and the risk of child maltreatment.
However, it is important to note that each of the flagship issues does have its own State Plan with specific
goals and objectives. The Oklahoma Child Health Improvement Plan (CHIP) has a section devoted to
preventing and/or reducing child abuse and neglect. In order to better coordinate efforts, members of the
CHIP Advisory Committee simply adopted goals and objectives straight from the Oklahoma State Plan for the
Prevention of Child Abuse and Neglect. The State Plan for the Prevention of Child Abuse and Neglect was co‐developed
by staff from the Family Support & Prevention Service and the Interagency Child Abuse Prevention
Task Force (ITF).
It is gratifying to see State Plans referencing one another. The integration of efforts helps to articulate a
cohesive system for children and families. However, it might be that these three Plans were integrated so
easily because the health department was the lead agency for all three Plans. When reviewing other State
Plans such as the Oklahoma State Early Childhood Advisory Council‘s Strategic Plan it was discovered that
such integration was not always as readily apparent. This is something to be mindful of when participating in
the development of future State Plans of all types.
STATE EARLY CHILDHOOD COMPREHENSIVE SYSTEMS (ECCS)
The Oklahoma State Department of Health (OSDH) Early Childhood Comprehensive Systems (ECCS) Project
works collaboratively with the Oklahoma Partnership for School Readiness (OPSR) Board and Smart Start
Oklahoma (SSO) to implement the Early Childhood Comprehensive State Plan. The mission of OPSR and ECCS
is to lead Oklahoma in coordinating an early childhood system focused on strengthening families and school
readiness for all children. If successful, it will be possible for all families with young children across the state
to access services when needed in the areas of parent education and family support, primary health care,
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social and emotional support, and quality early care and education. The implementation of the early
childhood comprehensive state plan will help achieve the vision of all Oklahoma children entering school
safe, healthy, eager to learn and ready to succeed.
INNOVATIVE FUNDING STREAM
REVITALIZED START RIGHT SPECIALTY LICENSE PLATES
In 2008, the OCAP specialty license plates received a facelift with a new
design after almost two decades of the former plate. With a fresh, new look,
the plates were created and made available at no cost to the state. Proceeds
benefit CAP funded child abuse prevention programs as well as raise
awareness and attention in the community with its attractive look. The Start
Right theme emerged and seems to send a powerful message to consumers, “purchase a tag and help raise
money to assist families in getting off to a productive, nurturing start in Oklahoma”. The Family Support and
Prevention Service staff and various partners continue to seek creative ways to promote the tag through
media releases, dissemination of the license plate application form, and through word of mouth. We
incorporate the CAP Month message, “It’s Your Turn to Make a Difference”... by reiterating that everyone in
Oklahoma benefits when children ‘Start Right’ and these specialty license tags provide an opportunity for the
average citizen to participate in improving the health and quality of life for Oklahoma’s children. Sales are
currently on the rise. We plan to continue cost free promotion of the tag.
STATE PLANNING RETREAT
During the beginning of FFY2011, plans are already underway to host a full day retreat for the Interagency
Child Abuse Prevention Task Force (including critical partners) to work on creating OCAP’s next ‘Invitation to
Bid’ for the CAP funded programs that are distributed across the state. Currently, the Start Right (OCAP)
programs will be beginning their final year (beginning July 2011) of a five year cycle. The bids will be
developed with a comprehensive system in mind, including how to pool programmatic resources (multiple
programs sharing staff, trainings, etc) and expertise to stretch funding as much as possible.
COLLABORATION WITH CFSR/PIP
The FSPS Child Abuse and Training Coordination (CATC) Program staff met with representatives from the
Oklahoma Department of Human Services (OKDHS), Child Welfare Division to discuss items on their Child and
Family Service Reviews (CFSR) and Program Improvement Plans (PIP). Plans were underway to conduct
courtroom training specifically for Oklahoma County, but the county did not wish to proceed. Meetings took
place between OSDH/CATC staff and Deborah Smith, Director (OKDHS/Children and Families Service Division),
Kelli Litsch, Program Administrator (OKDHS), Joanie Webster, Program Administrator (OKDHS/Foster Care) on
coordinating trainings for foster parents and caseworkers using WebEx (web conferencing that connects
individuals easily and combines desktop sharing through a web browser with phone conferencing and video,
so everyone sees the same thing while the presenter talks). Plans in the future include providing a web‐based
training on the OKDHS Practice Model, the new Child Abuse Hotline as well as a Mandatory Reporting/Child
Abuse 101 training for schools. Additionally, Dr. Deborah Shropshire (pediatrician and foster care Champion)
has agreed to do training in the future (topic yet to be determined).
OKDHS staff was also involved in the creation and implementation of the 2010 – 2013 Oklahoma State Plan
for the Prevention of Child Abuse and Neglect and have a seat on the ITF. In addition, OKDHS representatives
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participated in the development of the 2008 – 2012 OCAP Child Abuse Prevention Services Invitation to Bid
and its award process (currently ending the fourth of a five year cycle). The Office of Child Abuse Prevention
attempts to engage our colleagues in child welfare in many ways. Perhaps due to their overwhelming
demands, it has not been possible for us to always acquire information from them. Also, we are not typically
involved in their work related to CFSR/PIP or most of their prevention efforts.
STATE PLAN: UPDATED ACTIVITIES, 2009
The Oklahoma State Plan for the Prevention of Child Abuse and Neglect is an opportunity to build upon
Oklahoma’s strengths and focus on PREVENTION. The Plan is based on a five year cycle, but is reviewed
annually with changes made as new concerns arise and resources become available. This section describes
the updated activities from FY2010, beginning in 2009. (Please see the ‘application’ section for further State
Plan documentation, 2010 – 2013 as well as the complete State Plan, which is included as an attachment.)
LEADERSHIP
In building the State Plan, leadership sought to engage the broad array of partners, state and local, including
traditional partners such as social services, substance abuse/mental health, health and education as well as
non‐traditional partners such as housing, finance and the private sector.
Strategy 1: Interagency Task Force provided and continues to provide leadership and direction for state
efforts to prevent child abuse and neglect.
Activities:
• Fund and implement evidence–based community programs using the Health Families America model.
• Evaluate local Start Right projects on a yearly basis.
• Review current use of resources and allocate based on recommendations received regarding the
comprehensive system of services focused on prevention.
• Provide leadership for establishing topical task forces, when necessary.
• Provide updates and training to ITF board members in order to increase capacity and knowledge of
board members and representing agencies on the critical issues related to prevention throughout the
year.
• Finalize a five‐year comprehensive plan by 2010.
• Participate in Prevent Institute.
Activities Completed as of September 2009:
• Start Right model funded in communities; budgets reduced; evaluation model implemented.
• Topical task forces developing recommendations; due January 2010.
• Presentation given monthly on different programs and/or research for the ITF.
• Team participating in PREVENT.
Strategy 2: Office of Child Abuse Prevention will continue support of ITF and prevention programs.
Activities:
• Continue efforts to facilitate collaboration between the Oklahoma Child Death Review Board and the
Oklahoma Domestic Violence Fatality Review Board.
Measurable Outcomes:
1. Start Right programs funded for FY10.
2. Leadership provided by the ITF for development of comprehensive plant.
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• Continue efforts related to the Home Visitation Leadership Advisory Committee.
• Participate on national boards/coalitions/work groups related to prevention of child abuse and
neglect.
• Determine how linkages with other community‐based organizations (i.e., Smart Start Oklahoma,
OCCY’s community partnership boards) can enhance services for families.
• Explore the feasibility of implementing existing evidenced‐based programs such as:
o Children First (utilizing the Nurse‐Family Partnership model);
o Project Safe Care;
o Parents as Teachers;
o Strengthening Families;
o The Incredible Years;
o Circle of Parents; and
o Front Porch Project.
Activities Completed as of September 2009:
• Participate on Home Visitation Leadership Advisory Committee.
• Presentations are made to Smart Start and various other coalitions regarding focus on primary
prevention.
• Front Porch is initiated in Tulsa; at least 12 trainers are certified.
• Five communities selected and had participants willing to become trainers for the Front Porch
Project:
o Woodward; } Lawton; and
o Ardmore; } Shawnee.
o McAlester;
(Other participants to be trained were to come from OKC agencies that were willing to go to any community.)
• Implementation of Front Porch delayed until January 2010 due to contract issues.
• Strengthening Families model in 7 communities; funding cut.
• Children First services provided in 73 sites; budgets reduced.
Strategy 3: Enhance professional development of existing workforce on prevention of and early intervening in
abuse and neglect by 2010 and cross train staff from various agencies where appropriate.
Activities:
• Enhance existing and/or develop new training on identifying and intervening with families
exhibiting stress factors for professionals.
• Implement enhanced training across agencies and programs beginning in 2011.
• Provide training to professionals working with families so that they may assist in reducing
the family’s stress factors and strengthen protective factors.
• Support Child Abuse Prevention Programs that serve special populations:
1. Contract with Indian Tribes in order to assure their population is provided child abuse
prevention services;
2. Contract with agencies that serve special populations, such as teen parents, physically
and mentally challenged parents and racial and ethnic minority parents; and
3. Allow OCAP Contractors to incorporate culturally‐specific curricula if supported by
research.
Measurable Outcomes:
1. OCAP provides staff support to family support programs within the division.
Measurable Outcomes:
1. Cross‐training on recognizing high risk, high stress families is provided for those frontline
staff delivering home visitation programs.
2. Fund prevention programs with measurable outcomes that serve special populations.
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Activities Completed as of September 2009:
• OSDH provided a limited number of scholarships to individuals for the Annual CCAN Conference.
• OSDH staff provided suggestions for presenters at the CCAN and also served as presenters.
• OSDH made numerous copies of the Home Visitor Safety Guidelines training video and it is now
available upon request.
• OSDH attempting to place video trainings on website for all to view.
• Meeting set with OU Trauma to further discuss training of delivery nurses and implementation of an
Abusive Head Trauma program for mothers at delivery; in the past have distributed “The Period of
Purple Crying”.
COMPREHENSIVE SYSTEM
Prevention is a long–term investment in the well‐being of children and families. Various public agencies have
responsibilities for prevention programs with different funding streams, policies and procedures and
populations served. We know that piecemeal, single focused solutions do not address the complex issues that
families face. A coordinated, interagency approach is necessary to provide the supports families need.
Coordination and collaboration strategies can range from those that are easy to implement to those that are
multifaceted. Interagency coordination can lead to efficient use of resources and a coordinated response to
family needs.
Oklahoma has a broad array of public and private services focused on the needs of families. We are
recognized for the evidence‐based programs implemented and our history of helping our neighbors in need.
In order to develop a five year comprehensive plan, it is first necessary to identify all of our current resources,
gaps in resources, needed resources and assess the best strategies to support families and develop a clear,
plan with identified actions and measurable results to prevent abuse and neglect among our families.
Strategy 4: Develop a framework for a comprehensive system that focused on prevention of and early
intervening in abuse and neglect by 2010.
Activities:
• Task forces will be established or existing groups tapped to address specific topics: child welfare,
substance abuse, mental health, domestic violence, economic stability, family support, special needs
and comprehensive system development for the purpose of identifying short and long term strategies
that address prevention and early intervention; identifying existing resources and gaps in local and
state systems by 2010.
• Identify existing primary, secondary and tertiary prevention programs; populations served,
geographic availability, resources allocated and program outcomes and evaluation by November
2009.
• Review other state systems to identify strategies, programs and policies that support prevention
efforts.
• Coordinate and integrate program activities and funds for the prevention of child abuse and neglect
with regard to primary and secondary prevention.
• Establish workgroup to review existing evidence‐based programs addressing prevention of sexual
abuse.
• Make recommendation to ITF based on review by December 2009.
Measurable Outcomes:
1. Comprehensive Plan for the Prevention of Child Abuse and Neglect is completed by 2010.
2. System “map” of primary, secondary and tertiary prevention programs available
statewide completed by 2010.
3. Recommendations regarding how prevention of sexual abuse will be addressed by
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Activities Completed as of September 2009:
• Task forces established to develop recommendations for Comprehensive Plan.
• Initial listing of existing prevention programs developed.
• Literature pulled relating to various prevention programs.
• Draft assessment of child abuse and neglect and other factors contributing to abuse and neglect
completed.
Strategy 5: Enhance professional development of existing workforce on prevention of and early intervening in
abuse and neglect by 2010.
Activities:
• Enhance existing and/or develop new training for professionals working in the field on identifying and
intervening with families exhibiting stress factors.
• Implement training across agencies and programs beginning in 2011.
• Provide professional working families with interventions aimed at reducing stress factors and
strengthening protective factors.
• Support child abuse prevention programs that serve special populations:
I. Contract with Tribal Nations in order to assure their population is provided child abuse
prevention services;
II. Contract with agencies that serve special populations such as teen parents, physically and
mentally challenged parents and racial and ethnic minority parents; and
III. Allow OCAP Contractors to incorporate culturally‐specific curriculums if supported by
research.
Activities Completed as of September 2009:
• Research on cross training for professionals; review other state models, initiate discussions with
training entities about implementation of training; no funding at this time.
• Presentation on protective factors at various conferences such as the Family Child Care Conference.
PUBLIC WILL
Strategy 6: Strengthen the public will and community capacity to prevent abuse and neglect and raise
awareness of the impact of abuse and neglect on children, families and communities.
Activities:
• Based on recommendations for the five year plan, develop a policy agenda that supports the goals of
the plan.
• Develop a statewide campaign that promotes specific child abuse prevention programs (as family
support programs).
• Develop a statewide campaign that celebrates the diversity of families in Oklahoma and provides tips
on supporting families in your community.
• Develop a statewide campaign that promotes positive parenting practices utilizing television, radio,
billboard and/or other print mediums and reframing principles.
• Provide the following educational materials upon request when funding is available, e.g.,
Identification and Reporting of Child Abuse and Neglect Brochures and Child Abuse Hotline Cards.
program approved and implementation is in progress by 2010.
Measurable Outcomes:
1. Annual reports for OCAP/Start Right, Children First and CBCAP completed.
2. Specific plan for SFY 2011 developed.
3. County‐by‐county assessment of resources completed.
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• Promotion and Community Involvement of Child Abuse Prevention Month (every April) through
coordination of Child Abuse Prevention Day at the Capitol and other planned community events.
Activities Completed as of September:
• Funding for educational materials cut due to budget reduction.
• Invitation to Bid developed for a free‐standing Parent Website; not accomplished because against
agency policy; will pursue developing pieces of it on the OSDH website.
• Have conducted four or more interviews with the media including Telemundo; focused on budget
cuts and the need of citizens to become involved in child abuse prevention.
• Pursued utilization of social media (Facebook, Twitter); not allowed at this time.
• Created art work to be used in child abuse awareness items.
• Annual Child Abuse Prevention month activities are being planned.
• Poll information regarding community awareness and perceptions of child abuse gathered by Prevent
Child Abuse Oklahoma; will be used for public awareness, funds permitting, and included in the next
iteration of the State Plan.
• Upcoming Institute for Child Advocacy Fall Forum will identify key policy issues for upcoming
legislative session.
• OCAP/Start Right Program Consultant developed a postcard individuals can send to compliment a
business for being family‐friendly as her OICA Kids Count Leadership project.
Measurable Outcomes:
1. Policy agenda that defines needed resources for a comprehensive system focused on
prevention of abuse and neglect.
2. Statewide media campaign implemented.
3. Education materials provided when requested by programs.
4. Annual Child Abuse Prevention Day at the Capitol.
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􀂛 Section VIII. Application Narrative
STATE PLAN ACTIVITIES FOR 2010 ­2013
The 2010 – 2013 State Plan includes broad goals and needed strategies to achieve those goals. It may be that
shifting resources or seeking additional resources will be required in order to implement some strategies. It
may be that certain goals and/or strategies are not achievable because funding has been eroded or
eliminated. These are very challenging times. The will to do the work may not be matched by the resources
to see the tasks completed. However, the Oklahoma State Department of Health, the Interagency Child
Abuse Prevention Task Force, and all prevention partners stand ready to employ the most current best
practices to serve and support parents.
INFRASTRUCTURE
The prevention of child abuse and neglect is broader than just programs. It is the responsibility of our
communities and neighborhoods to keep all children safe, and caregivers to raise children in healthy, safe
environments. Leadership takes a commitment at all levels to keep children safe and assure that they reach
their optimal potential.
LEADERSHIP BY SERVICE PROVIDERS
Leadership is needed to engage a broad array of partners. These include traditional state and local partners
such as social services, substance abuse/mental health, health and education as well as non‐traditional
partners such as housing, finance and the private sector.
The Interagency Task Force to Prevention Child Abuse and Neglect is committed to leading our state in
accomplishing the goals for the State Plan.
GOAL 1:
Increase the capacity, ownership and leadership
within the child abuse prevention professional community.
Strategy 1: The OSDH and the Interagency Child Abuse Prevention Task Force (ITF) will work
collaboratively, continuing to stay informed and grow in their knowledge of current best practice,
policies and models that positively impact the field of child abuse prevention and enhance the
landscape for Oklahoma’s children.
Strategy 2: The OSDH and the ITF will collaborate and provide technical assistance and training to
professionals in related fields that have the ability to impact child abuse prevention.
Measurable Outcomes:
1. Start Right programs funded for FY10 and beyond.
2. Presentations given on topics related to prevention of child abuse at each ITF meeting.
3. Training provided that increases the skills of providers delivering home visitation services in
recognizing and responding to high risk, high stress families.
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PARENT LEADERSHIP
Meaningful Parent Leadership occurs when parents address the challenges of parenting, gain the knowledge
and skills to function in meaningful leadership roles and represent a “parent voice” to help shape the
direction of their families, programs and communities. Shared leadership is successfully achieved when
parents and professionals build effective partnerships and share responsibility, expertise and leadership in
decisions being made that affect families and communities.1
GOAL 2:
Establish a Parent Advisory/Leadership Group.
Strategy 1: The OSDH and the ITF will research, seek and secure speakers, training opportunities,
technical assistance and information on the importance of a parent advisory/leadership group, the
process to creating such a group, and how best to collaborate with said group once that is achieved.
Strategy 2: The OSDH and the ITF will take the necessary steps to institutionalize and operationalize a
parent advisory/leadership group.
Measurable Outcomes:
1. Establish a functioning Parent Advisory Group that provides input and leadership in the area of
the prevention of child abuse and neglect by June 30, 2011.
EVALUATION:
Evaluation is a critical element of child abuse prevention program sustainability, as funders and policymakers
increasingly ask for evidence of the effectiveness of the programs they fund. It is also necessary for child
abuse and neglect prevention and family support programs to conduct evaluation activities as part of their
ongoing quality assurance efforts.
Currently, there is widespread acceptance among many social science fields that the use of evidence‐based or
evidence‐informed practices promotes the efficiency and effectiveness of funding, as there is an increased
chance that the program will produce its desired result. In turn, research suggests that effective programs
often have long‐term economic returns that far exceed the initial investment.
There are various types of evaluation. Program evaluation is a systematic study that assesses how well a
program is working; process evaluation assesses the extent to which the program is operating as intended;
and outcomes evaluation, which assesses the intended results of the program. Evaluation of programs leads
to replication that maintains model fidelity and uniformity of implementation thus achieving the intended
outcomes that make a difference for children and families.
GOAL 3:
Support the evaluation of social services including child abuse and neglect
services and other social services provided to children and families.
Strategy 1: Assure evaluations are conducted in an objective fashion and evaluation results are
distributed freely.
Measurable Outcomes:
1. Established process to review a program’s evaluation and assess effectiveness.
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PRIMARY PREVENTION
Primary prevention activities are directed at the general population and attempt to stop maltreatment before
it occurs. All members of the community have access to, and may benefit from, these services. Primary
prevention activities with a universal focus seek to raise the awareness of the general public, service
providers and decision‐makers about the scope and problems associated with child maltreatment.2
CREATE A CULTURE OF CHANGE
We must mobilize a critical mass of policy makers, employers, community leaders, educators and providers to
act on a commitment to families and to the health and safety of all children.
A public engagement campaign can fuel this change and is a structured, organized initiative to garner public
support for a problem as a way of achieving needed change and sustaining this change as a community norm.
Public engagement campaigns have been shown to mobilize communities, organizations and individuals to
call for policy or program changes in order to deal with problems. Educating the public about an issue and
giving them the information and course of action to address the problem has driven many of the social
changes that have occurred in our country.
A public engagement campaign can focus on strategies ranging from media campaigns to policy changes and
providers sharing the merits of their approaches to strengthening families or sponsoring community events
focused on positive parenting.
We must also recognize the informal supports offered in our neighborhoods and broader communities.
Communities know best the needs of its families and the informal and formal resources available to meet
their needs. Building the capacity of communities to support its families at all levels leads to safer, healthier
communities with more productive citizens.
GOAL 4:
Create a culture of change that values
the health, safety, and well­being
of children.
Strategy 1: The OSDH and the ITF will educate and mobilize communities to change community norms so
that child abuse and neglect is viewed as preventable and unacceptable.
Strategy 2: The OSDH and the ITF will support the implementation of quality early childhood programs
through the Oklahoma Department of Human Services, Smart Start Oklahoma, the Oklahoma Department
of Education, and Head Start.
Strategy 3: The OSDH and the ITF will strive to assure the six Strengthening Families Protective Factors3,
developed by Center for the Study of Social Policy, are integrated into all prevention programs serving
children and families.
Strategy 4: The OSDH and the ITF will engage non-traditional partners to get involved in and support
child abuse prevention efforts (i.e. business community, libraries, civic groups, etc).
Measurable Outcomes:
1. Policy agenda that defines needed resources for a comprehensive system focused on the
prevention of abuse and neglect.
2. Quality early childhood programs available statewide.
3. Annual Child Abuse Prevention Day at the Capitol.
4. Statewide multi‐media campaign implemented to recruit non‐traditional partners.
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SUPPORTING PARENTS
All parents and caregivers need support in the job of raising healthy, productive citizens. Support can be
informal, such as parents sharing information with each other; or formal, such as parenting classes or home
visitation.
The continuum from prenatal to high school would include programs that strengthen parenting skills and
improve outcomes in the following areas: parent‐child interactions, effective communication, positive
discipline, stress and anger management, self‐awareness and empathy building, early learning and family
literacy.
GOAL 5:
Assure that general parent education and family support
is universally available across the state.
Strategy 1: The OSDH and the ITF will engage others to work collaboratively in seeking and implementing
various vehicles for providing educational information to parents and caregivers to assist them in
providing safe, stable and nurturing environments for children.
Strategy 2: The OSDH and the ITF will assist parents and caregivers in meeting the basic needs
(sometimes called “concrete needs”) of their family/children.
Measurable Outcomes:
1. Provide information regarding parenting and child development to parents and caregivers in
various formats.
2. Families aware of and able to access formal and informal community resources and concrete
supports.
3. Families receive referrals to specific individuals at service agencies as well as transportation to
those services, if necessary and possible.
4. Develop parent website and warmline available 24 hours a day to provide information on
parenting and child development.
5. Provide information on parenting and child development to all parents of newborns including
abusive head trauma and safe sleep.
Prevention and treatment of sexual abuse is a special challenge, different in many of its dimensions from
other types of child maltreatment. Enormous strides have been made to understand the problem, educate
the public and mobilize resources to address it. Recent research has indicated that current strategies may not
be the most effective. Additional research and program development is needed to prevent initial harm to
children and reduce occurrences. 4
GOAL 6:
Implement strategies to prevent child sexual abuse.
Strategy 1: The OSDH and the ITF will work with partners across the state to implement programs that
emphasize adult education and responsibility in keeping children safe from sexual predators.
Strategy 2: The OSDH and the ITF will put training in place to provide age‐appropriate education to
children about child sexual abuse.
Measurable Outcomes:
1. Child sexual abuse prevention programs in place and available statewide.
2. Information on prevention of child sexual abuse developed and distributed to various
stakeholder groups.
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SECONDARY PREVENTION
Secondary prevention activities with a high‐risk focus are offered to populations that have one or more risk
factors associated with child maltreatment, such as poverty, parental substance abuse, young parental age,
parental mental health concerns, and parental or child disabilities. Programs may target services for
communities or neighborhoods that have a high incidence of any or all of these risk factors.
Currently, there is an emphasis across human services that evidence‐based or evidence‐informed practices
promote the efficiency and effectiveness of funding, as there is an increased chance the program will produce
its desired result. In turn, research suggests that effective programs often have long‐term economic returns
that far exceed the initial investment.5
Understanding what evidence‐based or evidence informed practice is, and is not, is a necessary step for
programs, as they continue to strive towards providing the best, most effective services. This focus on
effective use of resources leading to positive outcomes for families will create a culture of accountability
among all of those involved in the prevention of child abuse and neglect. The process of continually
educating, evaluating and informing, not only professionals, but communities, will contribute to a focus on
quality programs and services.
GOAL 7:
Identify best practices, programs and models that show evidence of
improving child health, safety, and well­being.
Strategy 1: The OSDH and the ITF will seek and provide to interested partners, best practice and
evidence‐based/evidence informed models on a continual basis to assure quality services are provided
and prevention dollars are well spent.
Strategy 2: The OSDH and the ITF will continue to redefine the components needed for the
comprehensive system as the child abuse prevention field evolves.
Measurable Outcomes:
1. Comprehensive Plan for the Prevention of Child Abuse and Neglect is completed and continued
progress toward goals is reported.
2. Oklahoma implements programs with measurable outcomes that meet the needs of children
and families.
COMPREHENSIVE SYSTEM
Prevention is a long–term investment in the wellbeing of children and families. Various public agencies have
responsibilities for prevention programs with different funding streams, policies and procedures and
populations served. We know that piecemeal, single focused solutions do not address the complex issues that
families face. A coordinated, interagency approach is needed to provide the supports that families need.
Coordination and collaboration strategies can range from those that are easy to implement to those that are
multi‐faceted. Interagency coordination can lead to efficient use of resources and a coordinated response to
family needs.
Oklahoma has a broad array of public and private services focused on the needs of families. We are
recognized for the evidence‐based programs implemented and our history of helping our neighbors in need.
In order to develop a five year comprehensive plan, it is first necessary to identify all of our current resources,
gaps in resources, needed resources, assess the best strategies to support families and develop a clear plan
with identified actions and measurable results to prevent abuse and neglect among our families.
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One key component of supporting parents and child development is through statewide home visiting
implemented through several state agencies, the OSDH and Oklahoma State Department of Education.
Voluntary home visiting programs tailor services to meet the needs of individual families, and offer
information, guidance and support directly in the home environment. While home visiting programs, such as
Healthy Families America, the Nurse���Family Partnership, the Parent‐Child Home Program and Parents as
Teachers, share similar overall goals of enhancing child well‐being and family health, they vary in their
program structure, specific intended outcomes, content of services and target populations.
A growing body of research demonstrates home visiting programs that serve infants and toddlers, can be an
effective method of delivering family support and child development services, particularly when services are
part of a comprehensive and coordinated system of high quality, affordable early care and education, health
and mental health, and family support services for families prenatally through pre‐kindergarten.6
GOAL 8:
Work towards the establishment of a comprehensive system
of prevention programs available across the state
to families with risk factors for child abuse and neglect.
Strategy 1: The OSDH and the ITF will work with partners across the state to increase the number and
quality of center‐based parent support groups and parent education programs.
Strategy 2: The OSDH and the ITF will work with partners across the state to increase the number and
quality of home visitation services.
Measurable Outcomes:
1. Oklahoma implements programs with measurable outcomes that meet the needs of children
and families.
2. ITF coordinates and integrates program activities and funds for the prevention of child abuse
and neglect with regard to primary and secondary prevention.
3. Home visitation services are available and funded statewide.
TERTIARY PREVENTION
Tertiary prevention activities focus on families where maltreatment or identified challenges have already
occurred, seek to reduce the negative consequences of the maltreatment and to prevent its recurrence.
GOAL 9:
Include in the comprehensive system, prevention programs
focused on serving families identified by the child welfare, mental health,
substance abuse, and/or domestic violence systems.
Strategy 1: The OSDH and the ITF will support the Oklahoma Department of Human Services, Child
Welfare as they continue to implement the new Practice Model and Standards emphasizing child safety.
Strategy 2: The OSDH and the ITF will provide support in increasing the number and quality of mental
health services available to both adults and children.
Strategy 3: The OSDH and the ITF will provide support in increasing the number and quality of substance
abuse treatment services for both adults and children.
Strategy 4: The OSDH and the ITF will provide support in increasing the number and quality of domestic
violence services.
Strategy 5: The OSDH and the ITF will continue to explore the overlap between child abuse and domestic
violence incidents, investigations, as well as best practices for prevention and intervention.
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Submitted June 6, 2011
Measurable Outcomes:
1. Implement Practice Model and standards leading to reduction in number of children entering
the child welfare system and improvement of care for those that do.
2. Mental health and domestic violence services available to meet the needs of all children and
families.
3. Integrate child abuse prevention strategies into mental health and domestic violence
programs.
Cultural competence is defined as a set of congruent behaviors, attitudes, and policies that come together in
a system, agency, or among professionals and enables that system, agency, or those professionals to work
effectively in cross–cultural situations. Operationally defined, cultural competence is the integration and
transformation of knowledge about individuals and groups of people into specific standards, policies,
practices and attitudes used in appropriate cultural settings to increase the quality of services; thereby
producing better outcomes.7
There are five essential elements that contribute to a system’s ability to become more culturally competent.
The system should (1) value diversity, (2) have the capacity for cultural self–assessment, (3) be conscious of
the “dynamics” inherent when cultures interact, (4) institutionalize cultural knowledge, and (5) develop
adaptations to service delivery reflecting an understanding of diversity between and within cultures.8
Furthermore, these five elements must be manifested in every level of the service delivery system. They
should be reflected in attitudes, structures, policies and services.
Valuing diversity means accepting and respecting differences. People come from very different backgrounds
and their customs, thoughts, ways of communicating, values, traditions, and institutions vary accordingly. The
choices that individuals make are powerfully affected by culture. Cultural experiences influence choices that
range from recreational activities to subjects of study. Even how one chooses to define family is determined
by culture.
As we further define a comprehensive approach for the prevention of child abuse and neglect, we must
attend to the unique culture of Oklahoma, recognizing our strengths and weaknesses.9
GOAL 10:
Promote and/or provide culturally appropriate services that maximize the
participation of various cultural and ethnic populations.
Strategy 1: The OSDH and the ITF will seek and provide to interested partners best practice and evidence‐based/
evidence informed models on a continual basis to assure appropriate services are available to
culturally diverse populations.
Strategy 2: The OSDH and the ITF will continue to redefine the components needed for the
comprehensive system as child abuse prevention programs’ populations evolve.
Measurable Outcomes:
1. Families are able to access needed services.
2. Workforce reflects diversity of families served.
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Submitted June 6, 2011
1
www.parentsanonymous.org
2
framework for Prevention Child Maltreatment, www.childwelfare.gov
3
1) parental resilience; 2) social connections; 3) knowledge of parenting and child development; 4) concrete support in times of need; 5 social and
emotional competence of children; and 6) healthy parent‐child relationships.
4
Guidelines for CBCAP Lead agencies on Evidence‐based and Evidence Informed Programs and Practices: Learning Along the Way (Revised 11/13/07)
5
Guidelines for CBCAP Lead Agencies on Evidence‐based and Informed Programs and Practices FRIENDS National Resource Center for CBCAP (2007)
6
Statement of Mathew Melmed, Executive Director, Zero to Three, submitted to the subcommittee on income security and family support of the House
Committee on Ways and Means hearing on Early Childhood Home Visitation, June, 2009.
7
(Davis, 1997 referring to health outcomes)
8
Isaacs, M. and Benjamin, M. (1991). Towards a culturally competent system of care, volume II, programs which utilize culturally competent principles.
Washington, D.C.: Georgetown University Child Development Center (CASSP Technical Assistance Center
9
Knitzer, J. (1982). Unclaimed Children: The failure of public responsibility to children and adolescents in need of mental health services. Washington,
D.C.: U.S. Government Printing Office.
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59 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
Section IX COLLABORATION AND
COORDINATION
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Oklahoma State Department of Health
Submitted June 6, 2011
COLLABORATION AND COORDINATION
(NOTE: some entries are duplicated from earlier sections)
􀂛 Annual Report Narrative
CBCAP Lead Agency (OSDH) and Child Maltreatment Prevention
Partnerships and Collaborations (Federal, State, Local, and Private Efforts)
THE INTERAGENCY CHILD ABUSE PREVENTION TASK FORCE
The Interagency Child Abuse Prevention Task Force (ITF) has a mandated membership of representatives
from: 1) public agencies with responsibilities for children and families, such as the Department of Health,
Department of Education, Department of Human Services, Department of Mental Health and Substance
Abuse, Office of the Attorney General and Judiciary/Law Enforcement agency; 2) private organizations such as
the American Academy of Pediatrics and the Oklahoma Partnership for School Readiness Board; 3) private
agencies and programs that specialize in the identification and intervention of child abuse and neglect; 4)
local government or business community; and 5) parents participating in a family resource and support
program. The Task Force is staffed by the OCAP. As directed by the CAP Act, the ITF reviews and evaluates all
prevention program proposals submitted to the OCAP for funding through the CAP Fund, reports findings to
the Oklahoma Commission on Children and Youth and makes recommendations to the Commissioner of
Health, the final authority for contract awards. The ITF with its broad representation and expertise assist the
OCAP in the development of the State Plan.
OKLAHOMA STATE PLAN FOR THE PREVENTION OF CHILD ABUSE AND NEGLECT
The State Plan written by the ITF and the OCAP is a compilation of findings, recommendations and efforts
spanning the continuum of child abuse and neglect prevention in Oklahoma. It is written with the
acknowledgment that the prevention of child abuse and neglect requires collaboration, coordination and
commitment of public agencies, private agencies, private citizens, prevention and intervention professionals
and the legal system.
OKLAHOMA COMMISSION ON CHILDREN AND YOUTH
Oklahoma law created the Oklahoma Commission on Children and Youth (OCCY), a state agency, to develop
and improve services to children and youth. The OCCY facilitates planning and coordination among public
and private agencies serving children and youth and provides administrative oversight for all children’s
programs and services. OCCY is mandated to ensure that the provisions of the CAP Act are implemented. Its
duties include: 1) the review and approval of the Oklahoma State Plan for the Prevention of Child Abuse and
Neglect; 2) the appointment of ITF members; 3) the appointment of CATCC members; and 4) the
recommendations of prevention program proposals for funding to the Commissioner of Health.
COMMUNITY PARTNERSHIP BOARDS
The Oklahoma Commission on Children and Youth, Office of Planning and Coordination is implementing the
visionary legislation passed in 1989 and 2000 by the Oklahoma Legislature, which developed the structure of
the Community Partnership Boards for Services to Children and Youth. A statewide planning process to
CBCAP Annual Report and Application
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Oklahoma State Department of Health
Submitted June 6, 2011
develop the Oklahoma State Plan for Services to Children and Youth was also designed to coordinate public
and private efforts to improve services to children and youth at both the state and local level. These
responsibilities were placed under the auspices of the Oklahoma Commission on Children and Youth. The
legislation recognized that ownership and responsibility for finding solutions to children’s problems belongs
to local communities. In other words, the responsibility for assuring the future of Oklahoma’s families and
children must be shared by every citizen. Composed of local citizens and service providers, the purpose of
the Community Partnership Boards is to collaboratively plan and implement programs and services, which
benefit the children, youth and families in our communities. This structure unites communities across the
state around common issues and identifies unique concerns and strategies within communities.
Drawing on the diverse as well as common issues faced by the larger community, the Community Partnership
Boards created a mechanism for the boards to be working bodies of community leaders concerned with
children’s issues. They are the networks around which gaps, strengths, and needs in services to children,
youth, and families in communities may be identified using available reports, statistics, experiences, and
wisdom. Further, they can provide leadership and advocacy for the provision of family‐centered, community‐based,
culturally sensitive approaches to meeting the needs of Oklahoma’s children, youth and families. The
boards also provide an opportunity for networking with many child advocates and service providers. At this
time, there are forty‐four (44) active boards, statewide.
The statutory function of the Community Partnership Boards is to develop local plans of action that will
effectively move our communities towards improving services to children and youth. It is an opportunity to
provide a voice for the children, youth and families from local communities to the state and help focus
priorities through participation in the development and implementation of the Oklahoma State Plan for
Services to Children and Youth. The issues addressed in the Oklahoma State Plan for Services to Children and
Youth can cut across the myriad of problems of today’s families ... violence, education, jobs, poverty, juvenile
delinquency, deprived and neglected children, abuse, alcohol and drug abuse, teen pregnancy, and many
more. Many of the local boards have collaborated to successfully address specific needs in their communities
and across the state. Many of these efforts rely on planning and coordination of existing resources and
require little or no new money. Even in times of tight budgets, improved projects and programs can occur
with communication, coordination and planning.
STATE EARLY CHILDHOOD COMPREHENSIVE SYSTEMS (ECCS)
The Oklahoma State Department of Health (OSDH) Early Childhood Comprehensive Systems (ECCS) Project
works collaboratively with the Oklahoma Partnership for School Readiness (OPSR) Board and Smart Start
Oklahoma (SSO) to implement the Early Childhood Comprehensive State Plan. The mission of OPSR and ECCS
is to lead Oklahoma in coordinating an early childhood system focused on strengthening families and school
readiness for all children. If successful, it will be possible for all families with young children across the state
to access services when needed in the areas of parent education and family support, primary health care,
social and emotional support, and quality early care and education. The implementation of the early
childhood comprehensive state plan will help achieve the vision of all Oklahoma children entering school safe,
healthy, eager to learn and ready to succeed.
CBCAP Annual Report and Application
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Oklahoma State Department of Health
Submitted June 6, 2011
CHILD ABUSE TRAINING AND COORDINATION PROGRAM
As a part of the continuum, multidisciplinary and discipline‐specific training programs for professionals with
responsibilities affecting children, youth, and families are mandated responsibilities of the Child Abuse
Training and Coordination Program (CATC). This program provides training, technical assistance and
assessment of the developing and functioning county‐level multidisciplinary child abuse and neglect teams
throughout the state and improves education and training of professionals with responsibilities for children
and families. The CATC program works with the Child Abuse Training and Coordination Council (CATCC) and
Multidisciplinary Child Abuse and Neglect Teams (MDTs). Funding for the CATC Program and Council is
provided through state appropriations and the Children’s Justice Act Grant, a collaborative effort with the
Oklahoma Department of Human Services.
CHILD ABUSE TRAINING AND COORDINATION COUNCIL (CATCC)
Defined by the CAP Act, CATCC has the mandate to make available multidisciplinary and discipline‐specific
training on child abuse and neglect for professionals with responsibilities affecting children, youth and
families. The CATCC members (22 in all) establish multidisciplinary and discipline‐specific training guidelines
and objectives and make curricula recommendations to other agencies with professionals who have
responsibilities for children, youth and families.
In conjunction with the CATCC, the CATC program facilitates the multidisciplinary and discipline‐specific
trainings. The CATC Program provides training to child protective services, law enforcement, district
attorneys, judges, medical personnel, mental health consultants and other professionals. Specific trainings
have included: “Investigating Severe Neglect and Physical Injury of Children and Infants”, “Taking Your
Investigation to the Courtroom” and “Advanced Forensic Interviewing.”
Examples of partnerships of the CATC program are as follows: assists the Oklahoma Lawyers for Children
fall and spring trainings, the Oklahoma District Attorney’s Office Annual Summer Conference, Oklahoma
Association for Infant Mental Health Conference, the Oklahoma Department of Mental Health and Substance
Abuse and the 18th Oklahoma Conference on Child Abuse and Neglect and Healthy Families.
The CATC Program is expanding efforts to include children that witness Domestic Violence or Domestic
Violence homicides and Human Trafficking.
HOME VISITATION LEADERSHIP ADVISORY COALITION (HVLAC)
The Family Support and Prevention Service (FSPS) steers the efforts of the Home Visitation Leadership
Advisory Coalition (HVLAC) by convening, hosting, and facilitating home visitation meetings and providing this
as a networking opportunity. Members from various agencies and programs working at all levels, from
supervisory roles to the front lines, participate in this dynamic group that strives for best practice in home
visitation. Comprised of representatives from state agencies, such as the Oklahoma State University,
Oklahoma Health Sciences Center, public school districts, youth and family services agencies, Prevent Child
Abuse Oklahoma, parent‐child centers and other private non‐profits, the committee provides
recommendations to improve services. HVLAC coordinates efforts throughout the year on various activities
related to child abuse prevention (for child abuse prevention month and advocacy, for example) and best use
of funds for those involved in home visitation for child abuse prevention, school‐readiness, child abuse
intervention and early interventi

Oklahoma’s
Community-Based Child Abuse Prevention Grant
Combined Report
FFY 2010 CBCAP Annual Report
FFY 2011 CBCAP Grant Application
June 6, 2011
CBCAP Annual Report and Application
1 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
Community-Based Child Abuse Prevention Grant
CBCAP
TABLE OF
CONTENTS
Section I Submission Letter 3
Section II Lead Agency Identifying Information 6
Section III State CEO Documentation and Assurances 7
Section IV Lead Agency Assurances 10
Section V Leveraged Claim Form 15
Section VI Budget 20
Section VII Description of the Lead Agency 23
Section VIII Actions to Advocate for Systemic Change 41
Section IX Collaboration and Coordination 59
Section X Criteria for Funded Programs 72
Section XI Outreach Activities for Special Populations 81
Section XII Plans for Parent Leadership and Involvement 86
Section XIII
Plan for Support, Training, Technical Assistance and
Evaluation Assistance 90
Section XIV Evaluation Plans 102
Section XV
Plan for Child Abuse Prevention Month and
Public Awareness Activities 112
Section XVI Challenges and Opportunities 119
Section XVII Certifications (Lobbying) 122
Section XVIII Attachments (available separately or by request)
Complete list of ATTACHMENTS associated with report listed on next page.
Appendices Appendix A
Oklahoma’s Community‐Based Child Abuse Prevention Network
A-03
Appendix B
Needs Assessment Report B-02
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Oklahoma State Department of Health
Submitted June 6, 2011
Section
XVIII
ATTACHMENTS
TABLE OF CONTENTS
Section XVIII Attachments (available separately or by request)
FOLDERS NAME OF ATTACHMENT
FOLDER 1
FAMILY SUPPORT &
PREVENTION SERVICE
(OSDH) PROGRAMS
1. START RIGHT (OCAP) PROGRAM
1) *Start Right Annual Report (SFY09)
2) Start Right Program Description Catalogue (SFY10 and 11)
3) Start Right Logic Model
4) Start Right (OCAP) ITB (SFY 2008 – 2012)
2. CHILDREN FIRST PROGRAM
1) Children First Annual Report (SFY10)
2) Children First Logic Model
3) Nurse‐Family Partnership Logic Model
4) Nurse‐Family Partnership Model Elements
3. CHILD ABUSE TRAINING AND COORDINATION (CATC)
1) CATC Report (2010)
2) CATC Training Calendar (2009 ‐ 2010)
3) CATC Training Calendar (2010 ‐ 2011)
4. CHILD GUIDANCE SERVICE
1) Child Guidance Annual Report (SFY10)
2) The Incredible Years Report (Tulsa)
*More current Start Right Annual Report not available due to lack of valid data.
FOLDER 2
HOME VISITATION
GROUP
HOME VISITATION LEADERSHIP ADVISORY COALITION (HVLAC)
1) Oklahoma HV Services Directory (created to accompany Period of Purple
Crying to hospitals)
2) HV Meeting Schedules
3) HV Meeting Agendas & Minutes
4) HV Safety Guidelines
5) HV Safety Guidelines PowerPoint Training Component
FOLDER 3
INTERAGENCY CHILD
ABUSE PREVENTION
TASK FORCE (ITF)
OKLAHOMA STATE INTERAGENCY CHILD ABUSE AND PREVENTION TASK FORCE (ITF)
1) ITF Meeting Schedules
2) ITF Meeting Agendas & Minutes
3) ITF Outstanding Child Abuse Prevention Awards (2010)
FOLDER 4
MISCELLANEOUS
ITEMS
MISCELLANEOUS ITEMS
1) Conference Information
2) Curricula Development (7 Challenges Family ToolKit)
3) Oklahoma Family Week Materials (corresponding with National Family Week)
4) Period of Purple Crying – Hospital Involvement
5) Oklahoma Family Month (JUNE) Tray Liners (corresponding with National
Family Month)
6) Evaluation Components
FOLDER 5
CAP MONTH AND
PUBLIC AWARENESS
CAP MONTH MATERIALS (2010)
1) 2010 CAP Month ToolKit and General Materials
2) 2010 Build A Blue Ribbon Tree Campaign
3) 2010 CAP Day at the Capitol Materials
SINGLE ATTACHMENTS
MISCELLANEOUS
1. CBCAP FINANCIAL STATUS REPORT (DECEMBER 2010)
2. CBCAP ANNUAL REPORT (FFY 2010)
3. OKLAHOMA STATE PLAN FOR THE PREVENTION OF CHILD ABUSE AND NEGLECT (2010 ‐ 2013)
4. PART WORKSHEETS
CBCAP Annual Report and Application
3 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
Section I SUBMISSION LETTER
CBCAP Annual Report and Application
4 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
CBCAP Annual Report and Application
5 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
CBCAP Annual Report and Application
6 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
Section II LEAD AGENCY IDENTIFYING
INFORMATION
In Response: Log No: ACYF‐CB‐PI‐11‐05
Date of Issuance: 06/06/2011
Lead Agency Name: Oklahoma State Department of Health
Community and Family Health Services
Family Support and Prevention Service
Mailing Address: 1000 Northeast 10th Street
7th Floor
Oklahoma City OK 73117‐1299
E‐Mail Address: Sheriet@health.ok.gov or Annettej@health.ok.gov
Fax Number: (405) 271‐1011
Agency’s Employer
Identification Number (EIN): 73‐6017987W
Data Universal Numbering System
(DUNS) Number: 14‐3673015
CBCAP Program Contacts: Sherie Trice, M.S., CCPS
CBCAP Grant Coordinator
Family Support and Prevention Service
(405) 271‐7611
Annette Wisk Jacobi, JD
Chief
Family Support and Prevention Service
(405) 271‐7611
CBCAP Fiscal Contact: Grace E. Brown
Chief
Accounting Services
(405) 271‐4042
Footnote: OSDH will provide timely notification to the Federal program officer if there are any
changes in the following lead agency information during the grant award period.
CBCAP Annual Report and Application
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Oklahoma State Department of Health
Submitted June 6, 2011
Section III
STATE CEO
DOCUMENTATION AND
ASSURANCES
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Oklahoma State Department of Health
Submitted June 6, 2011
CBCAP Annual Report and Application
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Oklahoma State Department of Health
Submitted June 6, 2011
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Oklahoma State Department of Health
Submitted June 6, 2011
Section VI LEAD AGENCY ASSURANCES
CBCAP Annual Report and Application
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Oklahoma State Department of Health
Submitted June 6, 2011
CBCAP Annual Report and Application
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Oklahoma State Department of Health
Submitted June 6, 2011
CBCAP Annual Report and Application
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Oklahoma State Department of Health
Submitted June 6, 2011
OKLAHOMA STATE DEPARTMENT OF HEALTH
ADMINISTRATIVE PROCEDURES MANUAL
TITLE: Tobacco‐Free Policy Number: 1‐8
Re‐issued: September 2010
RESPONSIBLE Revises: 1‐8, September 2001
SERVICE: Administration
APPROVED: _________________________
Terry Cline, Ph.D.
Commissioner of Health
OBJECTIVE: To eliminate all tobacco use indoors and outdoors on the premises of all
Oklahoma State Department of Health facilities including County Health
Departments, in state vehicles used for OSDH business, and by OSDH
personnel providing services in clients’ homes.
BACKGROUND: Tobacco use is Oklahoma’s leading preventable cause of death, and
exposure of nonsmokers to secondhand smoke is the third leading
preventable cause of death. Reduction of smoking and other forms of
tobacco use and protection of the public from involuntary exposure to
secondhand smoke are among the top priorities of the Oklahoma State
Department of Health as outlined in recent annual State of the State’s
Health Reports.
This policy is to help reduce tobacco use among this Department’s
employees and throughout Oklahoma, and it is not intended to be
punitive towards any OSDH employees. The Oklahoma State
Department of Health is committed to encouraging and providing
support to any OSDH employee who wishes to engage in a tobacco
dependency treatment program, within the Department’s available
resources.
The Oklahoma State Department of Health strives to be a leader in
protecting the health of our employees and everyone visiting our
facilities and to set a good example through the conduct of our
personnel by adopting the following tobacco‐free policy:
CBCAP Annual Report and Application
14 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
PROCEDURE: 1. The use of tobacco products shall be prohibited throughout all indoor
and outdoor areas of premises under the control of the Oklahoma
State Department of Health, in all vehicles on those premises, and in
state vehicles in use for OSDH business anywhere.
2. This policy applies to all employees, clients, visitors and others on
business at all Oklahoma State Department of Health premises.
3. The Central Office and each County Health Department or other
facility shall identify the boundaries of its premises, post this
information for public reference, and provide notice of this policy
with appropriate signage, including signs at the entrances to the
properties and/or other locations as needed.
4. County Health Departments and other facilities that share a building
with other offices shall eliminate tobacco use in their offices and from
all the indoor and outdoor premises under their control. They shall
encourage tobacco‐free policies for all tenants and throughout the
entire premises.
5. Tobacco product receptacles shall be removed from the premises,
including any ash cans near entryways.
6. OSDH employees shall not use tobacco products while providing
services in clients’ homes.
7. To the extent allowed by Oklahoma law, contracts to provide services
to the public on behalf of OSDH entered into on or after the effective
date of this policy shall require contractors to follow the tobacco‐free
policy of OSDH in performance of services for OSDH.
8. Violation of this policy by an OSDH employee shall be cause for
management/supervisor intervention and may result in corrective or
disciplinary action in accordance with the OSDH Administrative
Procedures Manual and state personnel rules.
CBCAP Annual Report and Application
15 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
Section V LEVERAGED CLAIM FORM
CBCAP Annual Report and Application
16 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
CBCAP Annual Report and Application
17 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
CBCAP Annual Report and Application
18 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
DOCUMENTATION OF LEVERAGED FUNDS
FOR FEDERAL MATCHING FUNDS
• The leveraged funds submitted are state funds appropriated for the preceding fiscal year
(October 1, 2009 – September 30, 2010) that were directed through the CBCAP lead agency
(OSDH).
• These funds were used to support community‐based and prevention‐focused programs and
activities designed to strengthen and support families to prevent child abuse and neglect.
• The state funds claimed as leveraged funds for this program have not been used to leverage
additional federal funds under any other program.
• Clarification of the Leveraged Funds Worksheet:
1. The “Amount of Claim” column only contains monies spent between 10/01/09 and
9/30/10.
2. The “Received” column indicates which state fiscal year the money was appropriated.
However, the entire fiscal year’s appropriation was not included in the “Amount of
Claim” column.
3. The “OCAP” refers to the Office of Child Abuse Prevention which was derived from
the Child Abuse Prevention Fund (CAP Fund). The money used to support the OCAP
Start Right Programs comes from the Child Abuse Prevention Fund (CAP Fund). The
CAP Fund was created by the Oklahoma Child Abuse Prevention Act as a mechanism
for pooling state, federal and private funds for the development and implementation
of community‐based family resource and support programs. Program proposals that
meet the guidelines and recommendations specified in the Oklahoma State Plan for
the Prevention of Child Abuse and Neglect, receive a multi‐layer multidisciplinary
review. The current requirements for the contractors are included in Attachment
Section of this Grant Application. Approved proposals are awarded contracts by the
Commissioner of Health and receive funding through the CAP Fund. The contractors
then provide home visitation services utilizing the Healthy Families “critical elements”
and the Parents as Teachers curriculum as well as center‐based services.
4. “Office of Child Abuse Prevention Administration (OCAP Admin)”: State
appropriations allow the Office of Child Abuse Prevention staff from the OSDH central
office to provide training, technical assistance, evaluation/assessment and quality
assurance/improvement to the contractors funded by the CAP Fund and contractors
funded by the CBCAP Grant.
5. “Child Guidance”: State appropriated dollars and county millage supports the staff
salaries and travel of the Child Guidance Service. The Child Guidance Service is an
OSDH program that focuses on strengthening families by promoting positive parent‐child
relationships and enhancing child development. Child development specialists,
speech language pathologists, psychologists, social workers and audiologists provide
multi‐disciplinary services including detection, education, support, and some
treatment of developmental, communication, hearing and behavioral concerns and
assists families in accessing resources.
CBCAP Annual Report and Application
19 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
6. “Children First”: The Children First Service is a statewide public health nurse home
visitation program offered through local health departments. The model utilized is
the Nurse‐Family Partnership Model. Services are provided at no cost to families
expecting to deliver and/or to parent their first child. Services are initiated before the
29th week of pregnancy and continue until the child turns two years of age. The
monies included on the Leveraged Funds Worksheet include staff salaries and travel
of those nurses delivering the service as well as the staff salaries and travel of those in
the OSDH central office that provide training, technical assistance,
evaluation/assessment and quality assurance.
7. “Child Abuse Training and Coordination Program (CATC)”: This Child Abuse Training
and Coordination Program (CATC) is mandated to make available multidisciplinary
and discipline‐specific training on the identification, reporting, investigation and
treatment of child abuse and neglect and domestic violence. CATC is advised by a 22‐
member council (CATCC). CATCC establishes multidisciplinary and discipline‐specific
guidelines and objectives and make curricula recommendations to other agencies
with professionals who have responsibilities for children, youth and families. The
funding listed on the Leveraged Funds Worksheet reflects the state dollars
appropriated for OSDH central office staff salaries and travel that support CATC.
8. “Heirloom Birth Certificates”: Develops statewide capacity, based on best practices,
to provide effective investigations through Multidisciplinary Child Abuse and Neglect
Teams at the local level. Increases access to multidisciplinary and discipline‐specific
training on the investigation, prosecution, and treatment of child abuse and neglect
and domestic violence. The Child Abuse Training and Coordination Program provides
free state‐of‐the‐art, discipline specific training and technical assistance for
professionals such as: Prosecutors, Judges, Private Attorney's, Law Enforcement,
Medical and Mental Health Providers, School Personnel, Child Welfare Workers,
Youth Services Workers, and Court Appointed Special Advocates. This training and
assistance help advance services available for addressing the needs of children in
abusive situations by increasing the expertise of Oklahoma professionals.
CBCAP Annual Report and Application
20 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
Section VI BUDGET
CBCAP Annual Report and Application
21 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
PROPOSED BUDGET
Federal Fiscal Year 2011 CBCAP Grant Application
ACTIVITY FEDERAL DOLLARS NON­FEDERAL
DOLLARS
Administration $ 61,770* $ 12,354
Community‐Based
Services
Non‐Home Visitation
(including Child Guidance Service –
The Incredible Years and Parent
Child Interaction Therapy) $ 18,000 $ 3,600
Community‐Based
Services
Home Visiting Service $ 69,185 $ 13,837
Evaluation $ 30,513 $ 6,103
Fatherhood $ 5,103 $ 1,021
Network Coordination $ 10,415 $ 2,083
Parent Leadership $ 10,257 $ 2,051
Public Awareness
(Including Child Abuse Prevention
Month materials) $ 8,000 $ 1,600
Respite Services $ 6,103 $ 1,221
Strengthening Families $ 38,480 $ 7,696
Training and
Technical Assistance $ 51,027 $ 10,205
TOTAL $ 308,853 $ 61,771
*This figure reflects the allowable 20% for administrative purposes.
Award amount and 20% state match based upon population‐based portion of the formula.
See Leveraged Funds Worksheet for supporting documentation.
CBCAP Annual Report and Application
22 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
BUDGET
• The budget for the development, operation, and expansion of the community‐based and
prevention‐focused programs and activities verifies that the State will spend an amount equal to
or more than 20% of the Federal funds received for Oklahoma’s grant award.
• The budget includes sufficient funds to send two representatives from Oklahoma to attend the
annual 3‐5 day federally initiated CBCAP Grantees Conference, a requirement of the grant and
no more than 20% of the available funds are allocated for administrative purposes.
• An amended budget will be submitted within 30 days of the grant award letter to reflect a 20%
match of the grant award. The activities and programs proposed in the application are
contingent upon the State receiving a grant award comparable to previous years’ awards.
CBCAP Annual Report and Application
23 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
Section VII
DESCRIPTION OF THE
LEAD AGENCY
…and the operation of the Network of Coordinated Community‐Based
and Prevention‐Focused Programs and Activities
CBCAP Annual Report and Application
24 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
State may also indicate one of the following:
􀀳 No changes from last year and no changes planned in the upcoming year.
__ Yes, there will be changes.
(NOTE: The FY2009 grant funding covers CBCAP activities conducted October 1, 2009 through September 30, 2010.
FY2009 funds are awarded in September 2009 for implementation in FY2010.)
LEAD AGENCY DESCRIPTION AND LEADERSHIP ACTIVITIES
􀂛 Annual Report Narrative
The Oklahoma Child Abuse Prevention Act
* THE OFFICE OF CHILD ABUSE PREVENTION (OCAP): In 1984, the Oklahoma Legislature passed the
Child Abuse Prevention (CAP) Act, Title 63 O.S. Section 1‐227. The CAP Act created the Office of Child Abuse
Prevention within the Oklahoma State Department of Health (OSDH) and defined the mechanisms by which
the OCAP would fulfill its duties and thereby create a statewide network of child abuse prevention programs
and activities. The OCAP provides primary, secondary and tertiary prevention services by: 1) providing family
support services through contracting agencies; 2) providing training to professionals working within family
support programs and/or the child welfare system and 3) technical assistance and reviews for the
multidisciplinary teams across the state.
THE INTERAGENCY CHILD ABUSE PREVENTION TASK FORCE (ITF): This statewide task force has a
mandated membership of representatives from a wide variety of public and private entities. The OCAP
provides the staff support for the ITF. As directed by the CAP Act, the ITF reviews and evaluates all
prevention program proposals submitted to the OCAP for funding and is integral in the development and
implementation of the Oklahoma State Plan for the Prevention of Child Abuse and Neglect, with a new plan
being submitted on a 5‐year cycle and reviewed annually.
THE CHILD ABUSE PREVENTION FUND: The CAP Act also created the Child Abuse Prevention (CAP)
Fund to provide for statewide child abuse prevention services. This fund is predominantly supported with
state appropriated dollars. However, the CAP Act does allow for federal and private funds to be deposited
into this fund. At this time, the only monies being deposited into the CAP Fund other than state
appropriations come from revenues from specialty license plates. The twenty‐two CAP Fund programs in
State Fiscal Year (SFY) 2010 (July 1, 2009 through June 30, 2010) constituted a large part of the statewide
network of community‐based, family support programs.
Historically, Oklahoma statute required that the state be divided into child abuse prevention “districts”, but
as reported, the “district” concept was eliminated in 2007. The CAP Fund will continue to be distributed by
formula set in statute utilizing both the percentage of children under the age of 18 and percentage of child
abuse and neglect reports per county. A multi‐level review process specified in the CAP Act is prescribed in
statute as well to assure that equity and fairness are part of the award process.
* Note: In 2008, the Office of Child Abuse Prevention (OCAP) adopted Start Right as the new name for all of
the contracted programs (formerly referred to as “OCAP Programs”). OCAP still exists as it continues its role
of administering the programs under the direction of the Family Support and Prevention Service (OSDH).
CBCAP Annual Report and Application
25 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
CBCAP FUNDED PROGRAM: In SFY 2010, the OSDH utilized CBCAP funds to continue their
intergovernmental agreement with the Chickasaw Nation. Through this agreement, the same services
provided by the Start Right Programs (CAP Funded programs) are provided to Chickasaw tribal members. In
SFY 2011, the OSDH will continue to utilize CBCAP funds in support of the Chickasaw Nation’s efforts related
to home visitation services and center‐based services.
The OCAP provides training, technical assistance, evaluation and assessment to the Start Right Programs,
including the program funded by CBCAP dollars.
SFY 2010/2011 START RIGHT PROGRAMS
District Name and Counties within the District Area
Agency Name Contract
Award $
District I: Pittsburg, Haskell, LeFlore, Latimer Counties
Pittsburg County Health Department $109,223
District II: Adair, Cherokee, McIntosh, Muskogee, Okmulgee, Sequoyah, Wagoner
Counties
Help��In‐Crisis, Inc. $123,469
Center for Children and Families, Inc. $142,235
District III: Cleveland, Coal, Garvin, McClain, Pontotoc Counties
McClain‐Garvin County Youth and Family Center, Inc. $109,223
District IV: Canadian, Kingfisher, Logan Counties
Oklahoma State University Cooperative Extension Service for Canadian County $120,319
District V: Hughes, Pottawatomie, Seminole Counties
Youth and Family Services for Hughes and Seminole Counties, Inc. $109,223
District VI: Caddo, Comanche, Cotton, Grady, Jefferson, Stephens Counties
Oklahoma State University Cooperative Extension Service for Cotton & Jefferson County $220,424
District VII: Oklahoma
Mary Mahoney Memorial Health Center $109,223
Exchange Club Center for the Prevention of
Child Abuse of Oklahoma, Inc. $271,919
Latino Community Development Agency, Inc. $181,278
District VIII: Greer, Harmon, Jackson, Kiowa, Tillman Counties
Great Plains Youth and Family Services, Inc. $109,223
District IX: Beckham, Blaine, Custer, Dewey, Roger Mills, Washita Counties
Great Plains Youth and Family Services, Inc. $109,223
District X: Beaver, Cimarron, Ellis, Harper, Texas, Woodward Counties
Oklahoma State University Cooperative Extension Service for Texas County $109,223
District XI: Creek, Lincoln, Okfuskee, Pawnee, Payne Counties
Sapulpa Public Schools $159,381
District XII: Tulsa County
CBCAP Annual Report and Application
26 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
Parent Child Center of Tulsa, Inc. $482,084
District XIII: Craig, Delaware, Mayes, Nowata, Ottawa, Rogers, Washington Counties
Washington County Child Care Foundation $115,730
Oklahoma State University Cooperative Extension Service for Delaware County $109,223
District XIV: Alfalfa, Garfield, Grant, Major, Woods Counties
Northwest Family Services, Inc. $109,223
District XV: Carter, Johnston, Love, Murray Counties
Community Children’s Shelter, Inc. $109,223
District XVI: Atoka, Bryan, Choctaw, Marshall, McCurtain, Pushmataha Counties
McCurtain County Health Department $109,223
District XVII: Kay, Noble, Osage Counties
Northern Oklahoma Youth Services Center and Shelter, Inc. $109,223
Federally Funded Programs
The Chickasaw Nation $115,000
Please see 1) APPENDIX A-26 - A-30 for Start Right (OCAP) details.
Please see 2) ATTACHMENT FOLDER 1: PROGRAMS/START RIGHT (OCAP) for related information & materials.
1) SFY09 Start Right Annual Report*
2) SFY10 & SFY11 Start Right Program Description Catalogue
3) Start Right Logic Model
4) Start Right ITB
*A SFY 2010 Annual Report for the Office of Child Abuse Prevention has not been completed and published due to
CBCAP Annual Report and Application
27 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
Related Networks, Related Activities
ANNUAL START RIGHT CONTRACTORS MEETING
The mandatory Annual Start Right Contractors Meeting was offered on two different dates via
videoconference broadcasting on the OSDH satellite network to Start Right and CBCAP program supervisors
and staff. Staff was allowed to attend the four hour meeting on July 19 or July 20, 2010. Review and updates
on financial and programmatic materials were presented.
RESPITE CARE
The CBCAP grant provided $20,000 for the implementation of respite care for families that were at‐risk of
child abuse and neglect. $18,500 of the total was assigned for actual respite vouchers for child care, and
$1,500 was for processing and administrative fees to the Oklahoma Department of Human Services for their
accounting services. Families from the Start Right Programs as well as the Children First Program (Oklahoma’s
Nurse‐Family Partnership) were eligible to participate based on an ‘identified need’ by their home visitor.
During FFY10, CAP Fund programs issued a set of vouchers valued at $100 and valid for three months to
‘in‐need families’ who were enrolled in home visitation services. A total of 180 families were issued respite
vouchers. Families were eligible to receive respite vouchers for three quarters of the fiscal year. Several
families were awarded vouchers in multiple quarters.
The Respite Care Program was designed to empower the family to be independent, making decisions about
who provided the respite care, when and where it was provided, and how much it would cost. The family was
responsible for interviewing, hiring, and evaluating their respite care providers. The respite funds were
administered through the Department of Human Services’ voucher system. The OCAP participated in the
Oklahoma Respite Resource Network meetings.
THE FRONT PORCH PROJECT (OSDH)
The Family Support and Prevention Service (FSPS) utilized CBCAP funds to invest in The Front Porch Project
(FP) during FY2010. The American Humane Association’s Front Porch Project is a national, research‐supported,
community‐based initiative built upon the belief that all people who are concerned about the
safety and well‐being of children in their communities need to be encouraged and taught to make a
difference. Evaluation results show 95% of those who participated in the Front Porch Project Community
Training agree that they feel more comfortable intervening with struggling parents or families and are more
likely to intervene than before the training. This concept is much the same as a good neighbor sitting on the
“front porch” who, in years past, would have been aware of and involved in solving problems affecting
families they knew. American front porches were more than convenient sitting places; they served as
networking centers where concerned friends could share information and devise support systems to help
each other through difficult times.
This is where the Front Porch Project comes in. It is their belief that it is time to bring citizens back into the
arena of child protection and abuse and neglect prevention. The goal of this program is to thoroughly affect
technical problems with the OCAP database. It would appear that the OCAP system needs major corrections in
programming or perhaps a completely new design. With a great deal of effort on the part of an epidemiologist,
Information Technology staff and the Start Right Contractors, a simple report of required programmatic numbers such as
number of screenings, assessments, families served, completed home visits, etc. was produced. Program effectiveness
was measured by these basic process measures and additional information gathered from record reviews, staff
interviews, and shadowing home visits during annual Contractor site visits.
CBCAP Annual Report and Application
28 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
large‐scale, enduring, systemic change, which includes leadership from the broader community as well as
other systems already in place. Empowering everyone to intervene early, the Front Porch Project helps
ensure that all children in every community will grow up with the healthy development they need to become
stable, contributing adults.
Twenty‐three people completed the two day Front Porch Community Training on January 20 and February
17, 2010 as well as the two day Front Porch Train‐the‐Trainer Training on February 18 and 19, 2010. The
OSDH/FSPS staff completed one Front Porch Community Training on September 10, 2010, which was during
FY2010 (with the second day falling in the next fiscal year, October 8, 2010). Individual workshops and
presentations introducing Front Porch have been provided to various target groups during FY2010. Shortly
after the training took place (with growing economic concerns), group leaders were challenged to provide
their own group, but many found it difficult with the cost of travel, personal job changes, and finding a
participants that would be available for two complete days. The FSPS continues to participate in quarterly
calls with the American Humane Association/Front Porch Project staff and other FP sites.
HOME VISITATION LEADERSHIP ADVISORY COALITION (HVLAC)
The Family Support and Prevention Service (FSPS) steers the efforts of the Home Visitation Leadership
Advisory Coalition (HVLAC) by convening, hosting, and facilitating home visitation meetings and providing this
as a networking opportunity. Members from various agencies and programs working at all levels, from
supervisory roles to the front lines, participate in this dynamic group that strives for best practice in home
visitation. Comprised of representatives from state agencies, such as the Oklahoma State University,
University of Oklahoma Health Sciences Center, public school districts, youth and family services agencies,
Prevent Child Abuse Oklahoma, parent‐child centers and other private non‐profits, the committee provides
recommendations to improve services. This group coordinates efforts throughout the year on various
activities related to child abuse prevention (for child abuse prevention month and advocacy, for example) and
best use of funds for those involved in home visitation for child abuse prevention, school‐readiness, child
abuse intervention and early intervention. They also address other critical issues as it relates to home
visitation. New in FY2010, this group was instrumental in guiding the efforts and making recommendations
on the Oklahoma Affordable Care Act (ACA) Federal Maternal, Infant, and Early Childhood Home Visiting
Program (MIECHV) Grant. Members benefit from sharing resources, learning about each other’s programs,
special speaker presentations, and collaborating on various projects. There were seven meetings attended by
over a hundred participants from across the state during FY10. HVLAC meetings took place (during FY 2010)
on November 18, 2009 and January 20, March 24, May 19, June 16, July 21, September 19 of 2010.
Membership recruitment targets community‐based, family support programs with a home visitation
component.
Highlights of the year’s HVLAC activities:
1. Reviewed, discussed, and provided directional input related to the Federal MIECHV Home
Visitation Grant. As an eclectic group of professionals representing a wide variety of
home‐visitation programs across the state, the HVLAC group was a natural fit to help
navigate the beginning implementation of the HV grant as an unbiased body, including
hearing presentations from specific home visitation programs as potential programs were
targeted in consideration for expansion. The group listened to presentations from
programs, such as, Oklahoma Parents as Teachers, Children First (Oklahoma’s Nurse‐
Family Partnership), Start Right Programs (OCAP), Project SafeCare as well as updates
throughout the year on the grant’s progress.
CBCAP Annual Report and Application
29 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
2. Special Presentations from experts that provide services related to and important to home
visitation programs. A sampling of the topics/presenters from FY 2010 include:
a. The OSDH Child Guidance Warmline – a “warm line” utilized to provide
automated information on various topics as well as a personal
consultation from a professional in the field to child care providers.
b. Infant Safe Sleep – presented by Julie Dillard, OSDH SIDS/Infant Safe
Sleep Coordinator.
c. Healthy Families SafeCare Partnership – presented by the Oklahoma
Latino Agency regarding services provided to Oklahoma families.
d. Overview of the Oklahoma Newborn Hearing Screening Program –
presented by OSDH.
e. Other various speakers showcased their programs and brought helpful
information to the group.
3. Creation of the “Oklahoma Home Visitation Services Directory”. This new publication was
created to accompany the distribution of the “Period of Purple Crying” DVD’s to all
birthing hospitals in the state, a project that originated as part of the “Preparing for a
Lifetime, It’s Everyone’s Responsibility” Initiative to improve infant outcomes. The
“Abusive Head Trauma” subcommittee was derived from this group as well (for more
information see Section VIII – Systemic Change).
4. Continued sharing and distribution of the Home Visitors Safety Guidelines Manual. This
publication was a long‐term project developed by several of the HVLAC group members
with a focus on safety and home visitation. The manual continues to be distributed
electronically to various agencies and child abuse prevention programs across the state.
The publication was also used as a ‘model publication’ by interested parties outside of
Oklahoma, in both Nevada and West Virginia, who wanted to duplicate these efforts as
well as others who are pursuing using it as a template for their own state.
5. Continued sharing and distribution of the Home Visitors Safety Guidelines Training
PowerPoint and Video Guide (utilized as a supplemental component to the above
manual). Expert speakers on various topics related to safety and home visitation were
captured in this DVD/video series, outlining eight important topics (general safety
guidelines, mental health and substance abuse, methamphetamine usage, domestic
violence, child abuse reporting, gang involvement, firearms, and family assessment).
Both the manual and the PowerPoint are available via our website and the DVD is
available by written request.
6. A growing electronic listserv – enables easy contact with fellow home visitors to update
members on current and upcoming events as well as the sharing of timely information or
important news generated at local, state or national levels, which grew and proved
invaluable during the process of coordinating the Federal MIECHV Home Visitation Grant.
Please see Attachment Folder 2: HOME VISITATION LEADERSHIP ADVISORY COALITION (HVLAC)
for related information and materials.
1) Oklahoma Home Visitation Services Directory
2) Home Visitation Meeting Schedules
3) Home Visitation Meeting Agendas & Minutes (FY10)
4) Home Visitation Safety Guidelines
5) Home Visitation Safety Guidelines PowerPoint
THE OKLAHOMA STATE INTERAGENCY CHILD ABUSE PREVENTION TASK FORCE (ITF)
Oklahoma State Statute prescribes make up and responsibilities of the State’s Interagency Child Abuse
Prevention Task Force (ITF). Members from numerous agencies as well as three parent participants come
together to create the State’s Child Abuse Prevention Plan, to distribute the Oklahoma Child Abuse
Prevention Funds, and to guide current child abuse prevention efforts across the state. ITF meetings took
CBCAP Annual Report and Application
30 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
place (during FY2010) on October 2, 2009 and January 8, March 26, May 21, August 13 of 2010. During
FY2010, this was another group that was a cog in the wheel of guiding the efforts and making
recommendations regarding the Oklahoma Affordable Care Act (ACA) Federal Maternal, Infant, and Early
Childhood Home Visiting Program (MIECHV) Grant.
Highlights of the year’s activities:
1. Reviewed, discussed, and provided directional input related to the Federal MIECHV Home
Visitation Grant. As an eclectic group, the ITF was an unbiased body of professionals that
assisted throughout the process of phases I and II of the MIECHV grant, including hearing
presentations from specific HV programs as potential programs were targeted for
consideration for expansion. Program presentations included Oklahoma Parents as
Teachers, Children First (Oklahoma’s Nurse‐Family Partnership), Start Right Programs
(OCAP), Early Head Start, and Project SafeCare as well as reviewed and received updates
throughout the year on the grant’s progress.
2. The comprehensive Oklahoma State Plan for the Prevention of Child Abuse and Neglect.
Gathering information and feedback through the work of many, the comprehensive
Oklahoma State Plan for Child Abuse and Neglect was reviewed, edited, reworked, and
finally completed, which was another primary focus throughout the year.
3. Special presentations from key child abuse prevention experts on current trending topics
were provided during the year. Some of the topics/presenters from FY2010 included:
a. “Domestic Violence and Children” – Tamatha Mosier, Oklahoma Attorney General’s
Office and ITF Member
b. “Oklahoma Department of Human Services (OKDHS) Practice Model” – Afton
Wagner, OKDHS
c. “Reframing Child Abuse Prevention” – Jim McKay, State Coordinator, Prevent Child
Abuse West Virginia (via videoconferencing)
ITF Recognizes Excellence in Child Abuse Prevention with Awards (Annually)
Every year, the ITF along with the Office of Child Abuse Prevention (OCAP) seek nominations for worthy
candidates who have demonstrated outstanding commitment and dedication to child abuse prevention in
Oklahoma. Over the years, these awards have been presented in conjunction with the Annual Child Abuse
and Neglect and Healthy Families Conference during their opening session as they were again during FY2010.
The four awards recognized:
1. Outstanding Elected Official Award, which is given to recognize an elected official for distinguished
service on behalf of children and families in Oklahoma.
2. Marion Jacewitz Award, which is given to recognize an individual in Oklahoma who has made
significant contributions to the prevention of child abuse on a statewide level.
3. Outstanding Child Abuse Prevention Program Award, which is given to recognize an exceptional
community program that has an emphasis in child abuse prevention.
4. Mary Ellen Wilson Award, which is given to recognize an individual who has demonstrated
outstanding commitment and dedication to child abuse prevention activities in his or her community.
Please see ATTACHMENT FOLDER 3: ITF for related information and materials.
1) ITF Meeting Schedules
2) ITF Meeting Agendas and Minutes (FY10) 3) ITF Awards Packet and Materials (FY 10)
􀂛 Section VII. Application Narrative (continued on next page)
(NOTE: In an effort to avoid duplication, please also see Annual Report Narrative above and Collaboration and
Coordination Sections)
CBCAP Annual Report and Application
31 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
DESCRIPTION OF THE LEAD AGENCY
OKLAHOMA STATE DEPARTMENT OF HEALTH
The Oklahoma State Department of Health (OSDH), a public entity, is the lead agency responsible for
administering the CBCAP funds and providing oversight to funded programs. OSDH is comprised of 68 county
health departments and one central office. It is responsible for protecting, maintaining and improving the
public's health status. Because of its size and diverse programming, OSDH is in a unique position to seek
innovative approaches to coordinating funding streams and other resources to enhance the CBCAP funded
services and activities.
COMMUNITY AND FAMILY HEALTH SERVICES
Community and Family Health Services (CFHS) is one of the primary service areas within the OSDH. The
mission is to protect and promote the health of the citizens of Oklahoma by assessing health status,
establishing evidence‐based priorities and providing leadership to assure the availability of individual and
population‐based health services. Oklahoma currently has 68 county health departments and two
independent city‐county health departments serving 77 counties. Each department offers a variety of
services such as immunizations, family planning, maternity education, well‐baby clinics, adolescent health
clinics, hearing & speech services, child developmental services, environmental health, the early intervention
program and community development activities.
Located within Community and Family Health Services are the following distinct services:
1) Child Guidance ‐ programs designed to promote optimal child development, healthy behavior and
effective interaction for families and children; as well as those who work with young children.
2) Maternal and Child Health ‐ programs that provide state leadership to improve the physical and
mental health, as well as safety and well‐being of the Oklahoma maternal and child health
population.
3) SoonerStart ‐ an early intervention program designed to meet the needs of infants and children with
disabilities and developmental delays.
4) Women, Infants and Children (WIC) ‐ a program to provide nutrition education and food resources to
low‐income pregnant and postpartum women and their young children.
5) Dental ‐ provides leadership in oral disease prevention, anticipates needs and mobilizes efforts that
will help protect and promote good oral health.
6) Family Support and Prevention Service ‐ programs that promote the health and safety of children by
reducing violence and child maltreatment through public education, multidisciplinary training of
professionals and the funding of community‐based family support programs.
7) Community Development Service ‐ programs that promote Health Equity & Resource Opportunities
(HERO), health promotion, minority health, primary care, rural health development and community
development through the Turning Point initiative.
8) Nursing Service ‐ to promote, protect, and preserve the health of our citizens through optimal public
health nursing services, leadership, education, and advocacy.
9) Records Evaluation and Support Division ‐ provides support services to county health department
administrators, including Forms Committee, quality assurance chart reviews and technical support
with OSDH developed software, such as the Public Health Oklahoma Client Information System
(PHOCIS), clinic management system and financial reporting software.
CBCAP Annual Report and Application
32 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
CBCAP Annual Report and Application
33 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
FAMILY SUPPORT AND PREVENTION SERVICE
The Family Support and Prevention Service mission is to promote health and safety of children and families by
reducing violence and child maltreatment through public education, multidisciplinary training of professionals
and the funding of community‐based family resource and support programs. Located within the Family
Support and Prevention Service are five major programmatic efforts in reducing child abuse and neglect:
1) Children First ‐ a public health nurse home visitation program utilizing the Nurse‐Family Partnership
Model; serves first‐time, low‐income mothers.
2) Child Abuse Training and Coordination Program ‐ a program to facilitate multidisciplinary and
discipline‐specific training and the development of multidisciplinary teams across the state.
3) The Office of Child Abuse Prevention ‐ an office that provides leadership in establishing the State’s
comprehensive statewide approach towards the prevention of child abuse by educating the public,
training professionals and funding local community‐based programs. The OCAP staff is diverse and
consists of child development specialists, social workers, adult education experts, program evaluators
and public health professionals. The OCAP was established in 1984 and has always been housed at
the OSDH.
4) Community‐Based Child Abuse Prevention Grant ‐ funds that allow community‐based organization to
develop, operate and expand their services; funds that support networks that work towards
strengthening families; and funds that foster understanding, appreciation and knowledge of diverse
populations.
5) Strengthening Families ‐ this initiative works with child care, child welfare, and early childhood
programs to infuse evidence‐based Protective Factors into their systems work and to build supportive
relationships between professionals and parents as a way to strengthen parent‐child interactions and
reduce the potential for harmful parenting behaviors.
Family Support & Prevention Service Organizational Chart
(updated May‐2011)
CBCAP Annual Report and Application
34 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
SUPPORTIVE STRUCTURE OF THE NETWORKS OF
CHILD ABUSE PREVENTION SERVICES AND ACTIVITIES
THE CHILD ABUSE PREVENTION ACT
In 1984, Oklahoma passed the Child Abuse Prevention Act (CAP Act), Title 63, O.S. Supp. 2004, Section 1‐227.
Prior to that time, the focus of child abuse and neglect efforts was on “after‐the‐fact” intervention
(i.e. preventing the reoccurrence of child abuse and neglect in families). The Act declared that the prevention
of child abuse and neglect was a priority in Oklahoma. The legislative intent was that:
• a comprehensive approach for the prevention of child abuse and neglect be developed
for the state and used as a basis of funding programs and services statewide;
• multi‐disciplinary and discipline‐specific ongoing training on child abuse and neglect and
domestic violence be available to professionals in Oklahoma with responsibilities affecting
children, youth, and families; and
• the Office of Child Abuse Prevention (OCAP) within the Oklahoma State Department of
Health (OSDH) was created for the purpose of establishing a comprehensive statewide
approach towards the prevention of child abuse and neglect.
The CAP Act created the Child Abuse Prevention (CAP) Fund for the provision of community‐based child abuse
prevention programs. The Act established the Interagency Child Abuse Prevention Task Force (ITF) and
statewide District Child Abuse Prevention Task Forces (DTF) that have collaboratively worked with the OCAP
and with local community‐based, prevention‐focused, child abuse prevention programs from the prevention
network in the past. In July 2007, the law was updated, eliminating district task forces as being a mandatory
requirement although an emphasis on local input remains a priority via pre‐existing community networks,
local partnerships, and local task force initiatives.
The ITF is composed of representatives from state agencies, the business community, parent participants of
family support programs, child abuse prevention service providers from the private and public sector and
professionals from the medical, legal and mental health fields. The ITF and OCAP prepare the Oklahoma State
Plan for the Prevention of Child Abuse and Neglect (see attachment ‘Ok State Plan 2010 – 2013’), which is a
compilation of findings, recommendations and a plan for the continuum of comprehensive child abuse
prevention services in Oklahoma. ITF members (including parent representatives), service providers, child
advocates and program participants participate in the creation of the State Plan.
The Oklahoma Commission on Children and Youth (OCCY) is the state agency that provides oversight of all
services for children in the State, including the State Plan and contract awards for Community‐Based Child
Abuse Prevention Programs. With the direction and recommendations of the State Plan, the ITF, OCAP, other
OSDH family resource and support programs, other state agencies and other services providers provide a
coordinated, collaborative continuum of services to prevent child abuse and neglect. Community‐Based Child
Abuse Prevention program proposals are peer reviewed at the local and ITF levels. The approved
Community‐Based Child Abuse Prevention programs sign contracts with the OSDH to provide services.
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HOW THE STRUCTURE DIRECTS THE PREVENTION NETWORK
An illustration of the structure is presented, followed by descriptions of each segment of the
structure.
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Submitted June 6, 2011
THE OFFICE OF CHILD ABUSE PREVENTION
The Oklahoma Child Abuse Prevention Act (CAP Act) created The Office of Child Abuse Prevention (OCAP)
within the Oklahoma State Department of Health and defined the mechanisms by which the OCAP could fulfill
its duties. The Commissioner of Health has fiscal and administrative duties to facilitate the implementation of
the CAP Act. The duties and responsibilities of the Director of the OCAP are outlined in the CAP Act. The
OCAP provides primary (statewide promotion of child abuse prevention), secondary (community‐based family
resource and support programs) and tertiary (training of professionals on identifying, reporting, investigating,
and prosecuting child abuse and neglect) prevention services. The OCAP staff have formal education, training
and/or expertise in the areas of prenatal health, child health and development, child safety, adult education,
parent advocacy, fatherhood involvement, local social service resources, respite systems, program evaluation,
family assessment, family support, Healthy Families America® approach, early childhood education,
professional development, public awareness, child abuse and neglect prevention, and intervention.
THE INTERAGENCY CHILD ABUSE PREVENTION TASK FORCE
The Interagency Child Abuse Prevention Task Force (ITF) has a mandated membership of representatives
from: 1) public agencies with responsibilities for children and families, such as the Department of Health,
Department of Education, Department of Human Services, Department of Mental Health and Substance
Abuse, Office of the Attorney General and Judiciary/Law Enforcement agency; 2) private organizations such as
the American Academy of Pediatrics and the Oklahoma Partnership for School Readiness Board; 3) private
agencies and programs that specialize in the identification and intervention of child abuse and neglect; 4)
local government or business community; and 5) parents participating in a family resource and support
program. The Task Force is staffed by the OCAP. As directed by the CAP Act, the ITF reviews and evaluates all
prevention program proposals submitted to the OCAP for funding through the CAP Fund, reports findings to
the Oklahoma Commission on Children and Youth and makes recommendations to the Commissioner of
Health, the final authority for contract awards. The ITF with its broad representation and expertise assist the
OCAP in the development of the State Plan.
ITF Recognizes Excellence in Child Abuse Prevention with Awards (Annually)
Every year, the ITF along with the Office of Child Abuse Prevention (OCAP) seek nominations for worthy
candidates who have demonstrated outstanding commitment and dedication to child abuse prevention in
Oklahoma. Over the years, these awards have been presented in conjunction with the Annual Child Abuse
and Neglect (CCAN) and Healthy Families Conference during their opening session as they were again during
FY2010. However, with the CCAN conference growing less ‘prevention’ in nature over the years, the ITF
recently voted to move the Outstanding Child Abuse Prevention Awards to the annual Child Abuse Prevention
Day at the Capitol held every April, beginning in 2011, which will also continue in 2012. The group felt as
though this would be an incredible opportunity and more appropriate venue to highlight prevention and
honor the tremendous work being done in our state. In fact, our first year of moving the awards occurred last
month (April 2011) with the awards being presented following the Press Conference for CAP Day at the
Capitol, which seemed to be a huge success with media present to capture the event.
STATE PLANNING RETREAT
During the beginning of FFY2011, plans are underway to host a full day retreat for the Interagency Child
Abuse Prevention Task Force (including critical partners) to work on creating OCAP’s next ‘Invitation to Bid’
for the CAP funded programs that are distributed across the state. Currently, the Start Right (OCAP)
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programs will be beginning their final year (beginning July 2011) of a five year cycle. The bids will be
developed with a “comprehensive system” in mind, including how to pool programmatic resources (multiple
programs sharing staff, trainings, etc.) and expertise to stretch funding as much as possible.
THE CHILD ABUSE PREVENTION FUND
The CAP Fund was created by the CAP Act as a mechanism for pooling state, federal and private funds for the
development and implementation of community‐based family support programs for the prevention of child
abuse and neglect. Program proposals go through a multi‐layer, multidisciplinary review. Approved
proposals are awarded contracts by the Commissioner of Health and receive funding through the CAP Fund.
The OCAP provides training, technical assistance, evaluation and assessment to the CAP Fund community‐based
family support prevention programs, including programs funded by CBCAP dollars.
OKLAHOMA STATE PLAN FOR THE PREVENTION OF CHILD ABUSE AND NEGLECT
The State Plan, written by the ITF and the OCAP, is a compilation of findings, recommendations and efforts
spanning the continuum of child abuse and neglect prevention in Oklahoma. It is written with the
acknowledgment that the prevention of child abuse and neglect requires collaboration, coordination and
commitment of public agencies, private agencies, private citizens, prevention and intervention professionals
and the legal system. With this community approach for the prevention of child abuse and neglect, a draft of
the State Plan is distributed statewide for comments to other public and private service providers, child
advocacy agencies and private citizens.
OKLAHOMA COMMISSION ON CHILDREN AND YOUTH (OCCY)
Oklahoma law created the Oklahoma Commission on Children and Youth (OCCY), a state agency, to develop
and improve services to children and youth. The OCCY facilitates planning and coordination among public
and private agencies serving children and youth and provides administrative oversight for all children’s
programs and services. OCCY is mandated to ensure that the provisions of the CAP Act are implemented. Its
duties include: 1) the review and approval of the Oklahoma State Plan for the Prevention of Child Abuse and
Neglect; 2) the appointment of ITF members; 3) the appointment of CATCC members; and 4) the
recommendations of prevention program proposals for funding to the Commissioner of Health.
STATE EARLY CHILDHOOD COMPREHENSIVE SYSTEMS (ECCS)
The Oklahoma State Department of Health (OSDH) Early Childhood Comprehensive Systems (ECCS) Project
works collaboratively with the Oklahoma Partnership for School Readiness (OPSR) Board and Smart Start
Oklahoma (SSO) to implement the Early Childhood Comprehensive State Plan. The mission of OPSR and ECCS
is to lead Oklahoma in coordinating an early childhood system focused on strengthening families and school
readiness for all children. If successful, it will be possible for all families with young children across the state
to access services when needed in the areas of parent education and family support, primary health care,
social and emotional support, and quality early care and education. The implementation of the early
childhood comprehensive state plan will help achieve the vision of all Oklahoma children entering school as
being safe, healthy, eager to learn and ready to succeed.
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CHILD ABUSE TRAINING AND COORDINATION PROGRAM (CATC)
As a part of the continuum, multidisciplinary and discipline‐specific training programs for professionals with
responsibilities affecting children, youth, and families are mandated responsibilities of the Child Abuse
Training and Coordination Program (CATC). This program provides training, technical assistance and
assessment of the developing and functioning county‐level multidisciplinary child abuse and neglect teams
throughout the state and improves education and training of professionals with responsibilities for children
and families. The CATC program works with the Child Abuse Training and Coordination Council (CATCC) and
Multidisciplinary Child Abuse and Neglect Teams (MDTs). Funding for the CATC Program and Council is
provided through state appropriations and the Children’s Justice Act Grant, a collaborative effort with the
Oklahoma Department of Human Services.
CHILD ABUSE TRAINING AND COORDINATION COUNCIL (CATCC)
Defined by the CAP Act, CATCC has the mandate to make available multidisciplinary and discipline‐specific
training on child abuse and neglect for professionals with responsibilities affecting children, youth and
families. The CATCC members (22 in all) establish multidisciplinary and discipline‐specific training guidelines
and objectives and make curricula recommendations to other agencies with professionals who have
responsibilities for children, youth and families.
In conjunction with the CATCC, the CATC program facilitates the multidisciplinary and discipline‐specific
trainings. The CATC Program provides training to child protective services, law enforcement, district
attorneys, judges, medical personnel, mental health consultants and other professionals. Specific trainings
have included: “Investigating Severe Neglect and Physical Injury of Children and Infants”, “Taking Your
Investigation to the Courtroom” and “Advanced Forensic Interviewing.”
Examples of partnerships of the CATC program are as follows: assists the Oklahoma Lawyers for Children Fall
and spring trainings, the Oklahoma District Attorney’s Office Annual Summer Conference, Oklahoma
Association for Infant Mental Health Conference, the Oklahoma Department of Mental Health and Substance
Abuse and the 18th Oklahoma Conference on Child Abuse and Neglect and Healthy Families.
The CATC Program is expanding efforts to include children that witness Domestic Violence or Domestic
Violence homicides and Human Trafficking.
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DESCRIPTION OF HOW PROGRAMS AND ACTIVITIES
WILL OPERATE AND BE INTEGRATED
The OCAP will assume the leadership position, having the responsibility for directing the network of partnerships
and continuum of prevention services for children and families. The OCAP with its partners in the prevention
network of community‐based, prevention‐focused child abuse prevention programs coordinates resources
with many programs within OSDH, other agencies, and organizations, both public and private, including faith‐based
to maximize resources and to reach unduplicated populations in need. The OCAP will promote
collaborative efforts by state and community agencies through formal and informal networking opportunities
and efforts. The state legislative purpose for creating the OCAP was to develop and promote a collaborative,
comprehensive approach to the continuum of child abuse and neglect prevention services and programs.
There are many programs and services available in Oklahoma that in some way impact upon child abuse and
neglect and associated risk factors. Few programs were designed with the prevention of child abuse and
neglect as the primary outcome. More programs were designed to increase school‐readiness or improve the
health outcomes of mother and baby, but national evaluations found that they also decreased risk factors
related to child abuse and neglect. Many of the programs and services contain home visitation components.
OCAP seeks to build partnerships with the various programs, services, and organizations that will promote a
comprehensive and collaborative continuum of child abuse prevention. OCAP has many partners in the
prevention network. Partners and examples of the collaborative efforts, commenced and planned, are
presented in the following paragraphs.
COUNTY HEALTH DEPARTMENTS
There are 68 county health departments with 20 additional satellite service clinics and two city‐county health
departments. Two county health departments received CAP fund monies in SFY 2010 for child abuse
prevention programs (Pittsburg and McCurtain Counties). County health departments provide health services
such as early intervention, family planning, maternity clinics, acute disease, sexually transmitted disease, WIC
services, nurse home visitation services (Children First) and child guidance services (see appendix page A‐22
for regional sites). The county health departments refer families to the child abuse prevention programs in
the area. Conversely, the OCAP‐funded programs make referrals to the county health departments for
families to receive needed services. Several county health departments provide leadership, participation, and
support for the promotion of child abuse prevention and activities related to strengthening families.
Initiatives with the county health departments include the Child Abuse Prevention Month activities and
networking during the local program site visits.
Three health department programs, Children First, Child Guidance, and SoonerStart are an integral part of the
prevention of child abuse and neglect. See the following sections for more information about these
programs. Federal funds and other state funds provide collaborative efforts in training, education and service
delivery. Examples include sponsoring scholarships for personnel to the Oklahoma Annual Child Abuse and
Neglect Conference, child abuse and neglect identification and reporting training sessions, the annual Family
Matters Conference and other networking opportunities.
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(NOTE: In an effort to avoid duplication, please also see Collaboration and Coordination section)
Please see Appendix A OKLAHOMA CHILD ABUSE PREVENTION NETWORK for further OSDH program details.
1) APPENDIX A-11 (MDT’s) and APPENDIX A-62 (CAC’s) for further details.
1. START RIGHT PROGRAMS (OCAP)
a) A-26 START RIGHT PROGRAM (MAIN PAGE)
b) A-28 START RIGHT PROGRAM (CENTER-BASED SERVICES)
c) A-29 START RIGHT PROGRAM (CIRCLE OF PARENTS)
d) A-30 START RIGHT PROGRAM LOGIC MODEL
2. CHILDREN FIRST PROGRAM
a) A-31 CHILDREN FIRST (MAIN PAGE)
b) A-33 CHILDREN FIRST PROGRAM LOGIC MODEL
c) A-34 NURSE FAMILY PARTNERSHIP LOGIC MODEL
3. CHILD GUIDANCE SERVICES
a) A-21 CHILD GUIDANCE SERVICES (MAIN PAGE)
b) A-25 CHILD GUIDANCE SERVICES – THE INCREDIBLE YEARS
c) A-51 CHILD GUIDANCE SERVICES – PARENT CHILD INTERACTION THERAPY
4. A-48 SOONERSTART EARLY INTERVENTION
5. A-11 MULTIDISCIPLINARY TEAMS (MDT’s)
6. A-62 CHILD ADVOCACY CENTERS (CAC’s)
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Section VIII ACTIONS TO ADVOCATE
FOR SYSTEMIC CHANGE
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ACTIONS TO ADVOCATE FOR SYSTEMIC CHANGE
􀂛 Annual Report Narrative
HOME VISITATION LEADERSHIP ADVISORY COALITION (HVLAC)
NOTE: In an effort to avoid duplication, the narrative has been omitted here. Please see previous section.
OKLAHOMA STATE INTERAGENCY CHILD ABUSE PREVENTION TASK FORCE (ITF)
NOTE: In an effort to avoid duplication, the narrative has been omitted here. Please see previous section.
OKLAHOMA STRENGTHENING FAMILIES INITIATIVE
NOTE: In an effort to avoid duplication, the narrative has been omitted here. Please see next section.
AFFORDABLE CARE ACT
MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING GRANT
The Maternal, Infant, Early Childhood Home Visiting (MIECHV) Program is a federally funded initiative
designed to increase and enhance home visiting services being provided to pregnant women, infants, and
young children who are at‐risk. The goals of the program include promoting maternal, infant and early
childhood health, safety, and development, as well as strong parent‐child relationships. With this new
opportunity came much enthusiasm and hope from those in the field with it being a rare opportunity at
growth and expansion for vital services that are rare, especially in the current economic climate.
The OSDH was designated by the Governor as the lead agency for this grant. With both the Home Visitation
Leadership Advisory Coalition and the Oklahoma Interagency Child Abuse Prevention Task Force already in
place, Oklahoma was fortunate in having key groups to navigate, guide, assist and make recommendations
throughout the grant process. Target home visitation programs showcased their programs and provided
information on target audience, measurable outcomes, etc.
This grant includes three phases, two of which have been completed at this time (submitting a 1) project
narrative and 2) needs assessment). Results of the Needs Assessment identified the top ten counties in
Oklahoma (see map in Appendix A) based on the indicators provided. Two counties will be the current focus
of the Oklahoma efforts (Kay and Garfield Counties) with the hope to expand.
FSPS Staff are currently working to complete the last phase with the Oklahoma Home Visiting Updated Plan
due on June 8, 2011. In this phase, Oklahoma has chosen to expand three existing home visiting models
within Kay and Garfield counties, Children First: Oklahoma’s Nurse‐Family Partnership; Start Right (utilizing
Healthy Families America) and Parents as Teachers.
In addition to the expansion of home visiting services, the Plan includes contracts with a community‐based
organization in each county to fund a part‐time person to accomplish the following tasks: 1) Market the
home visitation programs to potential referral sources such as hospitals, health clinics, schools, social service
agencies, faith‐based groups, etc.; 2) Serve as a central point of contact for referrals and assure that the
referrals are provided to the appropriate home visitation program; and 3) Routinely convene the home
visitation programs so that they can staff referrals if necessary and share information about community
resources and services.
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PREPARING FOR A LIFETIME CAMPAIGN
This statewide initiative to improve birth outcomes and reduce infant deaths in Oklahoma focuses on seven
specific areas: preconception and interconception care (being healthy before and between pregnancies),
tobacco use prevention, prematurity, postpartum depression, breastfeeding, infant safe sleep, and infant
injury prevention. Using state and community‐based level partnerships (including FSPS staff), strategies
include public education, policy change, and support of health care providers and birthing hospitals through
training and technical assistance.
The infant mortality rate, defined as the number of deaths to infants less than one year of age per 1,000 live
births, is one of the most important indicators of the health of Oklahoma and the nation. It is associated with
a number of factors such as maternal health, parenting practices and socioeconomic conditions.
The top three causes of infant mortality in Oklahoma are congenital defects, disorders related to low birth
weight and short gestation and Sudden Infant Death Syndrome. Although child abuse and neglect may not be
listed as one of the specific top three causes of infant death, some of the same positive parenting practices
that often keep parents from being abusive or neglectful are the same behaviors that decrease the likelihood
of a child dying during infancy from a variety of causes.
The Oklahoma State Department of Health Commissioner’s Action Team on Reduction of Infant Mortality was
convened in May 2007. It has expanded to engage state and community partners in a statewide initiative,
“Preparing for a Lifetime, It’s Everyone’s Responsibility,” with strategic planning, data analyses and targeted
interventions. Example subject matters being addressed include breastfeeding, premature births, smoking
during pregnancy, infant safe sleep practices and preventing infant injuries – many subject matters that
overlap with child maltreatment prevention. The ‘Injury Prevention WorkGroup’ was developed during this
process and made the decision to target “Abusive Head Trauma” as one of their first projects, which was also
gaining momentum with the Oklahoma legislature.
SHAKEN BABY PREVENTION EDUCATION TASK FORCE
INJURY PREVENTION WORKGROUP ­­PERIOD
OF PURPLE CRYING PROJECT
Almost simultaneously, House Bill 2920 passed legislation in 2010, requiring the establishment of a Shaken
Baby Prevention Education Task Force. The purpose of the task force was to identify evidence‐based models
for reducing the incidence of abusive head trauma in infants in Oklahoma. Prior to this legislation being
passed, the Injury Prevention WorkGroup of the Preparing for a Lifetime Initiative identified this as a priority
to be addressed (seen earlier section above), creating a plan to work with all birthing hospitals in Oklahoma
to offer the “Period of Purple Crying”. Collaborating closely with the Oklahoma Hospital Association, the
University of Oklahoma Health Sciences Center, the Office of Perinatal Quality Improvement and Medical
Center Trauma Unit, the group chose the Period of Purple Crying materials to distribute to Oklahoma birthing
hospitals along with other resources. Materials were purchased to assure that all parents of newborns
receive a packet for one full year (60,000 Period of Purple Crying DVD’s).
Materials for hospitals agreeing to participate included:
• Program Description and Protocol – step by step implementation guide;
• Training on how to offer the Period of Purple Crying;
• Period of Purple Crying DVD – for new parents to view at the hospital and take home;
• Information Booklet about the Period of Purple Crying;
• Parent Acknowledgement Statement;
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• Client Release Form – for contact by local provider, as indicated;
• Oklahoma Home Visitation Services Directory – a complete listing of all Oklahoma home visitation
programs for young children with a description of the program and target group, listed by county.
THE OKLAHOMA HEALTH IMPROVEMENT PLAN (OHIP)
THE OKLAHOMA CHILDREN’S HEALTH IMPROVEMENT PLAN (OCHIP)
THE OKLAHOMA STATE PLAN FOR PREVENTION OF CHILD ABUSE AND NEGLECT
Working in concert... The Oklahoma State Department of Health, along with its numerous partnering
agencies and organizations, developed the Oklahoma Health Improvement Plan in 2009. Many key priorities
and outcomes that will support health improvement throughout the state are outlined in the OHIP. The OHIP
was mandated by the Oklahoma Legislature in 2008 by Senate Joint Resolution 41 and directed the State
Board of Health to prepare a report that outlined a plan for the “general improvement of the physical, social
and mental well being of all people in Oklahoma through a high‐functioning public health system.”
The OHIP addresses improving health outcomes in three targeted “flagship initiatives”:
1. Tobacco use Prevention
2. Obesity Reduction
3. Child Health
These flagship issues tie closely to the efforts of the prevention of child abuse. An example of the overlap
between the OHIP and child abuse prevention is found in Oklahoma’s home visiting programs. Home
visitation programs provide education on a myriad of parenting and health‐related topics as well as referrals
that directly impact the flagship issues and the risk of child maltreatment.
However, it is important to note that each of the flagship issues does have its own State Plan with specific
goals and objectives. The Oklahoma Child Health Improvement Plan (CHIP) has a section devoted to
preventing and/or reducing child abuse and neglect. In order to better coordinate efforts, members of the
CHIP Advisory Committee simply adopted goals and objectives straight from the Oklahoma State Plan for the
Prevention of Child Abuse and Neglect. The State Plan for the Prevention of Child Abuse and Neglect was co‐developed
by staff from the Family Support & Prevention Service and the Interagency Child Abuse Prevention
Task Force (ITF).
It is gratifying to see State Plans referencing one another. The integration of efforts helps to articulate a
cohesive system for children and families. However, it might be that these three Plans were integrated so
easily because the health department was the lead agency for all three Plans. When reviewing other State
Plans such as the Oklahoma State Early Childhood Advisory Council‘s Strategic Plan it was discovered that
such integration was not always as readily apparent. This is something to be mindful of when participating in
the development of future State Plans of all types.
STATE EARLY CHILDHOOD COMPREHENSIVE SYSTEMS (ECCS)
The Oklahoma State Department of Health (OSDH) Early Childhood Comprehensive Systems (ECCS) Project
works collaboratively with the Oklahoma Partnership for School Readiness (OPSR) Board and Smart Start
Oklahoma (SSO) to implement the Early Childhood Comprehensive State Plan. The mission of OPSR and ECCS
is to lead Oklahoma in coordinating an early childhood system focused on strengthening families and school
readiness for all children. If successful, it will be possible for all families with young children across the state
to access services when needed in the areas of parent education and family support, primary health care,
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social and emotional support, and quality early care and education. The implementation of the early
childhood comprehensive state plan will help achieve the vision of all Oklahoma children entering school
safe, healthy, eager to learn and ready to succeed.
INNOVATIVE FUNDING STREAM
REVITALIZED START RIGHT SPECIALTY LICENSE PLATES
In 2008, the OCAP specialty license plates received a facelift with a new
design after almost two decades of the former plate. With a fresh, new look,
the plates were created and made available at no cost to the state. Proceeds
benefit CAP funded child abuse prevention programs as well as raise
awareness and attention in the community with its attractive look. The Start
Right theme emerged and seems to send a powerful message to consumers, “purchase a tag and help raise
money to assist families in getting off to a productive, nurturing start in Oklahoma”. The Family Support and
Prevention Service staff and various partners continue to seek creative ways to promote the tag through
media releases, dissemination of the license plate application form, and through word of mouth. We
incorporate the CAP Month message, “It’s Your Turn to Make a Difference”... by reiterating that everyone in
Oklahoma benefits when children ‘Start Right’ and these specialty license tags provide an opportunity for the
average citizen to participate in improving the health and quality of life for Oklahoma’s children. Sales are
currently on the rise. We plan to continue cost free promotion of the tag.
STATE PLANNING RETREAT
During the beginning of FFY2011, plans are already underway to host a full day retreat for the Interagency
Child Abuse Prevention Task Force (including critical partners) to work on creating OCAP’s next ‘Invitation to
Bid’ for the CAP funded programs that are distributed across the state. Currently, the Start Right (OCAP)
programs will be beginning their final year (beginning July 2011) of a five year cycle. The bids will be
developed with a comprehensive system in mind, including how to pool programmatic resources (multiple
programs sharing staff, trainings, etc) and expertise to stretch funding as much as possible.
COLLABORATION WITH CFSR/PIP
The FSPS Child Abuse and Training Coordination (CATC) Program staff met with representatives from the
Oklahoma Department of Human Services (OKDHS), Child Welfare Division to discuss items on their Child and
Family Service Reviews (CFSR) and Program Improvement Plans (PIP). Plans were underway to conduct
courtroom training specifically for Oklahoma County, but the county did not wish to proceed. Meetings took
place between OSDH/CATC staff and Deborah Smith, Director (OKDHS/Children and Families Service Division),
Kelli Litsch, Program Administrator (OKDHS), Joanie Webster, Program Administrator (OKDHS/Foster Care) on
coordinating trainings for foster parents and caseworkers using WebEx (web conferencing that connects
individuals easily and combines desktop sharing through a web browser with phone conferencing and video,
so everyone sees the same thing while the presenter talks). Plans in the future include providing a web‐based
training on the OKDHS Practice Model, the new Child Abuse Hotline as well as a Mandatory Reporting/Child
Abuse 101 training for schools. Additionally, Dr. Deborah Shropshire (pediatrician and foster care Champion)
has agreed to do training in the future (topic yet to be determined).
OKDHS staff was also involved in the creation and implementation of the 2010 – 2013 Oklahoma State Plan
for the Prevention of Child Abuse and Neglect and have a seat on the ITF. In addition, OKDHS representatives
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participated in the development of the 2008 – 2012 OCAP Child Abuse Prevention Services Invitation to Bid
and its award process (currently ending the fourth of a five year cycle). The Office of Child Abuse Prevention
attempts to engage our colleagues in child welfare in many ways. Perhaps due to their overwhelming
demands, it has not been possible for us to always acquire information from them. Also, we are not typically
involved in their work related to CFSR/PIP or most of their prevention efforts.
STATE PLAN: UPDATED ACTIVITIES, 2009
The Oklahoma State Plan for the Prevention of Child Abuse and Neglect is an opportunity to build upon
Oklahoma’s strengths and focus on PREVENTION. The Plan is based on a five year cycle, but is reviewed
annually with changes made as new concerns arise and resources become available. This section describes
the updated activities from FY2010, beginning in 2009. (Please see the ‘application’ section for further State
Plan documentation, 2010 – 2013 as well as the complete State Plan, which is included as an attachment.)
LEADERSHIP
In building the State Plan, leadership sought to engage the broad array of partners, state and local, including
traditional partners such as social services, substance abuse/mental health, health and education as well as
non‐traditional partners such as housing, finance and the private sector.
Strategy 1: Interagency Task Force provided and continues to provide leadership and direction for state
efforts to prevent child abuse and neglect.
Activities:
• Fund and implement evidence–based community programs using the Health Families America model.
• Evaluate local Start Right projects on a yearly basis.
• Review current use of resources and allocate based on recommendations received regarding the
comprehensive system of services focused on prevention.
• Provide leadership for establishing topical task forces, when necessary.
• Provide updates and training to ITF board members in order to increase capacity and knowledge of
board members and representing agencies on the critical issues related to prevention throughout the
year.
• Finalize a five‐year comprehensive plan by 2010.
• Participate in Prevent Institute.
Activities Completed as of September 2009:
• Start Right model funded in communities; budgets reduced; evaluation model implemented.
• Topical task forces developing recommendations; due January 2010.
• Presentation given monthly on different programs and/or research for the ITF.
• Team participating in PREVENT.
Strategy 2: Office of Child Abuse Prevention will continue support of ITF and prevention programs.
Activities:
• Continue efforts to facilitate collaboration between the Oklahoma Child Death Review Board and the
Oklahoma Domestic Violence Fatality Review Board.
Measurable Outcomes:
1. Start Right programs funded for FY10.
2. Leadership provided by the ITF for development of comprehensive plant.
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• Continue efforts related to the Home Visitation Leadership Advisory Committee.
• Participate on national boards/coalitions/work groups related to prevention of child abuse and
neglect.
• Determine how linkages with other community‐based organizations (i.e., Smart Start Oklahoma,
OCCY’s community partnership boards) can enhance services for families.
• Explore the feasibility of implementing existing evidenced‐based programs such as:
o Children First (utilizing the Nurse‐Family Partnership model);
o Project Safe Care;
o Parents as Teachers;
o Strengthening Families;
o The Incredible Years;
o Circle of Parents; and
o Front Porch Project.
Activities Completed as of September 2009:
• Participate on Home Visitation Leadership Advisory Committee.
• Presentations are made to Smart Start and various other coalitions regarding focus on primary
prevention.
• Front Porch is initiated in Tulsa; at least 12 trainers are certified.
• Five communities selected and had participants willing to become trainers for the Front Porch
Project:
o Woodward; } Lawton; and
o Ardmore; } Shawnee.
o McAlester;
(Other participants to be trained were to come from OKC agencies that were willing to go to any community.)
• Implementation of Front Porch delayed until January 2010 due to contract issues.
• Strengthening Families model in 7 communities; funding cut.
• Children First services provided in 73 sites; budgets reduced.
Strategy 3: Enhance professional development of existing workforce on prevention of and early intervening in
abuse and neglect by 2010 and cross train staff from various agencies where appropriate.
Activities:
• Enhance existing and/or develop new training on identifying and intervening with families
exhibiting stress factors for professionals.
• Implement enhanced training across agencies and programs beginning in 2011.
• Provide training to professionals working with families so that they may assist in reducing
the family’s stress factors and strengthen protective factors.
• Support Child Abuse Prevention Programs that serve special populations:
1. Contract with Indian Tribes in order to assure their population is provided child abuse
prevention services;
2. Contract with agencies that serve special populations, such as teen parents, physically
and mentally challenged parents and racial and ethnic minority parents; and
3. Allow OCAP Contractors to incorporate culturally‐specific curricula if supported by
research.
Measurable Outcomes:
1. OCAP provides staff support to family support programs within the division.
Measurable Outcomes:
1. Cross‐training on recognizing high risk, high stress families is provided for those frontline
staff delivering home visitation programs.
2. Fund prevention programs with measurable outcomes that serve special populations.
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Oklahoma State Department of Health
Submitted June 6, 2011
Activities Completed as of September 2009:
• OSDH provided a limited number of scholarships to individuals for the Annual CCAN Conference.
• OSDH staff provided suggestions for presenters at the CCAN and also served as presenters.
• OSDH made numerous copies of the Home Visitor Safety Guidelines training video and it is now
available upon request.
• OSDH attempting to place video trainings on website for all to view.
• Meeting set with OU Trauma to further discuss training of delivery nurses and implementation of an
Abusive Head Trauma program for mothers at delivery; in the past have distributed “The Period of
Purple Crying”.
COMPREHENSIVE SYSTEM
Prevention is a long–term investment in the well‐being of children and families. Various public agencies have
responsibilities for prevention programs with different funding streams, policies and procedures and
populations served. We know that piecemeal, single focused solutions do not address the complex issues that
families face. A coordinated, interagency approach is necessary to provide the supports families need.
Coordination and collaboration strategies can range from those that are easy to implement to those that are
multifaceted. Interagency coordination can lead to efficient use of resources and a coordinated response to
family needs.
Oklahoma has a broad array of public and private services focused on the needs of families. We are
recognized for the evidence‐based programs implemented and our history of helping our neighbors in need.
In order to develop a five year comprehensive plan, it is first necessary to identify all of our current resources,
gaps in resources, needed resources and assess the best strategies to support families and develop a clear,
plan with identified actions and measurable results to prevent abuse and neglect among our families.
Strategy 4: Develop a framework for a comprehensive system that focused on prevention of and early
intervening in abuse and neglect by 2010.
Activities:
• Task forces will be established or existing groups tapped to address specific topics: child welfare,
substance abuse, mental health, domestic violence, economic stability, family support, special needs
and comprehensive system development for the purpose of identifying short and long term strategies
that address prevention and early intervention; identifying existing resources and gaps in local and
state systems by 2010.
• Identify existing primary, secondary and tertiary prevention programs; populations served,
geographic availability, resources allocated and program outcomes and evaluation by November
2009.
• Review other state systems to identify strategies, programs and policies that support prevention
efforts.
• Coordinate and integrate program activities and funds for the prevention of child abuse and neglect
with regard to primary and secondary prevention.
• Establish workgroup to review existing evidence‐based programs addressing prevention of sexual
abuse.
• Make recommendation to ITF based on review by December 2009.
Measurable Outcomes:
1. Comprehensive Plan for the Prevention of Child Abuse and Neglect is completed by 2010.
2. System “map” of primary, secondary and tertiary prevention programs available
statewide completed by 2010.
3. Recommendations regarding how prevention of sexual abuse will be addressed by
CBCAP Annual Report and Application
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Oklahoma State Department of Health
Submitted June 6, 2011
Activities Completed as of September 2009:
• Task forces established to develop recommendations for Comprehensive Plan.
• Initial listing of existing prevention programs developed.
• Literature pulled relating to various prevention programs.
• Draft assessment of child abuse and neglect and other factors contributing to abuse and neglect
completed.
Strategy 5: Enhance professional development of existing workforce on prevention of and early intervening in
abuse and neglect by 2010.
Activities:
• Enhance existing and/or develop new training for professionals working in the field on identifying and
intervening with families exhibiting stress factors.
• Implement training across agencies and programs beginning in 2011.
• Provide professional working families with interventions aimed at reducing stress factors and
strengthening protective factors.
• Support child abuse prevention programs that serve special populations:
I. Contract with Tribal Nations in order to assure their population is provided child abuse
prevention services;
II. Contract with agencies that serve special populations such as teen parents, physically and
mentally challenged parents and racial and ethnic minority parents; and
III. Allow OCAP Contractors to incorporate culturally‐specific curriculums if supported by
research.
Activities Completed as of September 2009:
• Research on cross training for professionals; review other state models, initiate discussions with
training entities about implementation of training; no funding at this time.
• Presentation on protective factors at various conferences such as the Family Child Care Conference.
PUBLIC WILL
Strategy 6: Strengthen the public will and community capacity to prevent abuse and neglect and raise
awareness of the impact of abuse and neglect on children, families and communities.
Activities:
• Based on recommendations for the five year plan, develop a policy agenda that supports the goals of
the plan.
• Develop a statewide campaign that promotes specific child abuse prevention programs (as family
support programs).
• Develop a statewide campaign that celebrates the diversity of families in Oklahoma and provides tips
on supporting families in your community.
• Develop a statewide campaign that promotes positive parenting practices utilizing television, radio,
billboard and/or other print mediums and reframing principles.
• Provide the following educational materials upon request when funding is available, e.g.,
Identification and Reporting of Child Abuse and Neglect Brochures and Child Abuse Hotline Cards.
program approved and implementation is in progress by 2010.
Measurable Outcomes:
1. Annual reports for OCAP/Start Right, Children First and CBCAP completed.
2. Specific plan for SFY 2011 developed.
3. County‐by‐county assessment of resources completed.
CBCAP Annual Report and Application
50 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
• Promotion and Community Involvement of Child Abuse Prevention Month (every April) through
coordination of Child Abuse Prevention Day at the Capitol and other planned community events.
Activities Completed as of September:
• Funding for educational materials cut due to budget reduction.
• Invitation to Bid developed for a free‐standing Parent Website; not accomplished because against
agency policy; will pursue developing pieces of it on the OSDH website.
• Have conducted four or more interviews with the media including Telemundo; focused on budget
cuts and the need of citizens to become involved in child abuse prevention.
• Pursued utilization of social media (Facebook, Twitter); not allowed at this time.
• Created art work to be used in child abuse awareness items.
• Annual Child Abuse Prevention month activities are being planned.
• Poll information regarding community awareness and perceptions of child abuse gathered by Prevent
Child Abuse Oklahoma; will be used for public awareness, funds permitting, and included in the next
iteration of the State Plan.
• Upcoming Institute for Child Advocacy Fall Forum will identify key policy issues for upcoming
legislative session.
• OCAP/Start Right Program Consultant developed a postcard individuals can send to compliment a
business for being family‐friendly as her OICA Kids Count Leadership project.
Measurable Outcomes:
1. Policy agenda that defines needed resources for a comprehensive system focused on
prevention of abuse and neglect.
2. Statewide media campaign implemented.
3. Education materials provided when requested by programs.
4. Annual Child Abuse Prevention Day at the Capitol.
CBCAP Annual Report and Application
51 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
􀂛 Section VIII. Application Narrative
STATE PLAN ACTIVITIES FOR 2010 ­2013
The 2010 – 2013 State Plan includes broad goals and needed strategies to achieve those goals. It may be that
shifting resources or seeking additional resources will be required in order to implement some strategies. It
may be that certain goals and/or strategies are not achievable because funding has been eroded or
eliminated. These are very challenging times. The will to do the work may not be matched by the resources
to see the tasks completed. However, the Oklahoma State Department of Health, the Interagency Child
Abuse Prevention Task Force, and all prevention partners stand ready to employ the most current best
practices to serve and support parents.
INFRASTRUCTURE
The prevention of child abuse and neglect is broader than just programs. It is the responsibility of our
communities and neighborhoods to keep all children safe, and caregivers to raise children in healthy, safe
environments. Leadership takes a commitment at all levels to keep children safe and assure that they reach
their optimal potential.
LEADERSHIP BY SERVICE PROVIDERS
Leadership is needed to engage a broad array of partners. These include traditional state and local partners
such as social services, substance abuse/mental health, health and education as well as non‐traditional
partners such as housing, finance and the private sector.
The Interagency Task Force to Prevention Child Abuse and Neglect is committed to leading our state in
accomplishing the goals for the State Plan.
GOAL 1:
Increase the capacity, ownership and leadership
within the child abuse prevention professional community.
Strategy 1: The OSDH and the Interagency Child Abuse Prevention Task Force (ITF) will work
collaboratively, continuing to stay informed and grow in their knowledge of current best practice,
policies and models that positively impact the field of child abuse prevention and enhance the
landscape for Oklahoma’s children.
Strategy 2: The OSDH and the ITF will collaborate and provide technical assistance and training to
professionals in related fields that have the ability to impact child abuse prevention.
Measurable Outcomes:
1. Start Right programs funded for FY10 and beyond.
2. Presentations given on topics related to prevention of child abuse at each ITF meeting.
3. Training provided that increases the skills of providers delivering home visitation services in
recognizing and responding to high risk, high stress families.
CBCAP Annual Report and Application
52 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
PARENT LEADERSHIP
Meaningful Parent Leadership occurs when parents address the challenges of parenting, gain the knowledge
and skills to function in meaningful leadership roles and represent a “parent voice” to help shape the
direction of their families, programs and communities. Shared leadership is successfully achieved when
parents and professionals build effective partnerships and share responsibility, expertise and leadership in
decisions being made that affect families and communities.1
GOAL 2:
Establish a Parent Advisory/Leadership Group.
Strategy 1: The OSDH and the ITF will research, seek and secure speakers, training opportunities,
technical assistance and information on the importance of a parent advisory/leadership group, the
process to creating such a group, and how best to collaborate with said group once that is achieved.
Strategy 2: The OSDH and the ITF will take the necessary steps to institutionalize and operationalize a
parent advisory/leadership group.
Measurable Outcomes:
1. Establish a functioning Parent Advisory Group that provides input and leadership in the area of
the prevention of child abuse and neglect by June 30, 2011.
EVALUATION:
Evaluation is a critical element of child abuse prevention program sustainability, as funders and policymakers
increasingly ask for evidence of the effectiveness of the programs they fund. It is also necessary for child
abuse and neglect prevention and family support programs to conduct evaluation activities as part of their
ongoing quality assurance efforts.
Currently, there is widespread acceptance among many social science fields that the use of evidence‐based or
evidence‐informed practices promotes the efficiency and effectiveness of funding, as there is an increased
chance that the program will produce its desired result. In turn, research suggests that effective programs
often have long‐term economic returns that far exceed the initial investment.
There are various types of evaluation. Program evaluation is a systematic study that assesses how well a
program is working; process evaluation assesses the extent to which the program is operating as intended;
and outcomes evaluation, which assesses the intended results of the program. Evaluation of programs leads
to replication that maintains model fidelity and uniformity of implementation thus achieving the intended
outcomes that make a difference for children and families.
GOAL 3:
Support the evaluation of social services including child abuse and neglect
services and other social services provided to children and families.
Strategy 1: Assure evaluations are conducted in an objective fashion and evaluation results are
distributed freely.
Measurable Outcomes:
1. Established process to review a program’s evaluation and assess effectiveness.
CBCAP Annual Report and Application
53 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
PRIMARY PREVENTION
Primary prevention activities are directed at the general population and attempt to stop maltreatment before
it occurs. All members of the community have access to, and may benefit from, these services. Primary
prevention activities with a universal focus seek to raise the awareness of the general public, service
providers and decision‐makers about the scope and problems associated with child maltreatment.2
CREATE A CULTURE OF CHANGE
We must mobilize a critical mass of policy makers, employers, community leaders, educators and providers to
act on a commitment to families and to the health and safety of all children.
A public engagement campaign can fuel this change and is a structured, organized initiative to garner public
support for a problem as a way of achieving needed change and sustaining this change as a community norm.
Public engagement campaigns have been shown to mobilize communities, organizations and individuals to
call for policy or program changes in order to deal with problems. Educating the public about an issue and
giving them the information and course of action to address the problem has driven many of the social
changes that have occurred in our country.
A public engagement campaign can focus on strategies ranging from media campaigns to policy changes and
providers sharing the merits of their approaches to strengthening families or sponsoring community events
focused on positive parenting.
We must also recognize the informal supports offered in our neighborhoods and broader communities.
Communities know best the needs of its families and the informal and formal resources available to meet
their needs. Building the capacity of communities to support its families at all levels leads to safer, healthier
communities with more productive citizens.
GOAL 4:
Create a culture of change that values
the health, safety, and well­being
of children.
Strategy 1: The OSDH and the ITF will educate and mobilize communities to change community norms so
that child abuse and neglect is viewed as preventable and unacceptable.
Strategy 2: The OSDH and the ITF will support the implementation of quality early childhood programs
through the Oklahoma Department of Human Services, Smart Start Oklahoma, the Oklahoma Department
of Education, and Head Start.
Strategy 3: The OSDH and the ITF will strive to assure the six Strengthening Families Protective Factors3,
developed by Center for the Study of Social Policy, are integrated into all prevention programs serving
children and families.
Strategy 4: The OSDH and the ITF will engage non-traditional partners to get involved in and support
child abuse prevention efforts (i.e. business community, libraries, civic groups, etc).
Measurable Outcomes:
1. Policy agenda that defines needed resources for a comprehensive system focused on the
prevention of abuse and neglect.
2. Quality early childhood programs available statewide.
3. Annual Child Abuse Prevention Day at the Capitol.
4. Statewide multi‐media campaign implemented to recruit non‐traditional partners.
CBCAP Annual Report and Application
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Oklahoma State Department of Health
Submitted June 6, 2011
SUPPORTING PARENTS
All parents and caregivers need support in the job of raising healthy, productive citizens. Support can be
informal, such as parents sharing information with each other; or formal, such as parenting classes or home
visitation.
The continuum from prenatal to high school would include programs that strengthen parenting skills and
improve outcomes in the following areas: parent‐child interactions, effective communication, positive
discipline, stress and anger management, self‐awareness and empathy building, early learning and family
literacy.
GOAL 5:
Assure that general parent education and family support
is universally available across the state.
Strategy 1: The OSDH and the ITF will engage others to work collaboratively in seeking and implementing
various vehicles for providing educational information to parents and caregivers to assist them in
providing safe, stable and nurturing environments for children.
Strategy 2: The OSDH and the ITF will assist parents and caregivers in meeting the basic needs
(sometimes called “concrete needs”) of their family/children.
Measurable Outcomes:
1. Provide information regarding parenting and child development to parents and caregivers in
various formats.
2. Families aware of and able to access formal and informal community resources and concrete
supports.
3. Families receive referrals to specific individuals at service agencies as well as transportation to
those services, if necessary and possible.
4. Develop parent website and warmline available 24 hours a day to provide information on
parenting and child development.
5. Provide information on parenting and child development to all parents of newborns including
abusive head trauma and safe sleep.
Prevention and treatment of sexual abuse is a special challenge, different in many of its dimensions from
other types of child maltreatment. Enormous strides have been made to understand the problem, educate
the public and mobilize resources to address it. Recent research has indicated that current strategies may not
be the most effective. Additional research and program development is needed to prevent initial harm to
children and reduce occurrences. 4
GOAL 6:
Implement strategies to prevent child sexual abuse.
Strategy 1: The OSDH and the ITF will work with partners across the state to implement programs that
emphasize adult education and responsibility in keeping children safe from sexual predators.
Strategy 2: The OSDH and the ITF will put training in place to provide age‐appropriate education to
children about child sexual abuse.
Measurable Outcomes:
1. Child sexual abuse prevention programs in place and available statewide.
2. Information on prevention of child sexual abuse developed and distributed to various
stakeholder groups.
CBCAP Annual Report and Application
55 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
SECONDARY PREVENTION
Secondary prevention activities with a high‐risk focus are offered to populations that have one or more risk
factors associated with child maltreatment, such as poverty, parental substance abuse, young parental age,
parental mental health concerns, and parental or child disabilities. Programs may target services for
communities or neighborhoods that have a high incidence of any or all of these risk factors.
Currently, there is an emphasis across human services that evidence‐based or evidence‐informed practices
promote the efficiency and effectiveness of funding, as there is an increased chance the program will produce
its desired result. In turn, research suggests that effective programs often have long‐term economic returns
that far exceed the initial investment.5
Understanding what evidence‐based or evidence informed practice is, and is not, is a necessary step for
programs, as they continue to strive towards providing the best, most effective services. This focus on
effective use of resources leading to positive outcomes for families will create a culture of accountability
among all of those involved in the prevention of child abuse and neglect. The process of continually
educating, evaluating and informing, not only professionals, but communities, will contribute to a focus on
quality programs and services.
GOAL 7:
Identify best practices, programs and models that show evidence of
improving child health, safety, and well­being.
Strategy 1: The OSDH and the ITF will seek and provide to interested partners, best practice and
evidence‐based/evidence informed models on a continual basis to assure quality services are provided
and prevention dollars are well spent.
Strategy 2: The OSDH and the ITF will continue to redefine the components needed for the
comprehensive system as the child abuse prevention field evolves.
Measurable Outcomes:
1. Comprehensive Plan for the Prevention of Child Abuse and Neglect is completed and continued
progress toward goals is reported.
2. Oklahoma implements programs with measurable outcomes that meet the needs of children
and families.
COMPREHENSIVE SYSTEM
Prevention is a long–term investment in the wellbeing of children and families. Various public agencies have
responsibilities for prevention programs with different funding streams, policies and procedures and
populations served. We know that piecemeal, single focused solutions do not address the complex issues that
families face. A coordinated, interagency approach is needed to provide the supports that families need.
Coordination and collaboration strategies can range from those that are easy to implement to those that are
multi‐faceted. Interagency coordination can lead to efficient use of resources and a coordinated response to
family needs.
Oklahoma has a broad array of public and private services focused on the needs of families. We are
recognized for the evidence‐based programs implemented and our history of helping our neighbors in need.
In order to develop a five year comprehensive plan, it is first necessary to identify all of our current resources,
gaps in resources, needed resources, assess the best strategies to support families and develop a clear plan
with identified actions and measurable results to prevent abuse and neglect among our families.
CBCAP Annual Report and Application
56 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
One key component of supporting parents and child development is through statewide home visiting
implemented through several state agencies, the OSDH and Oklahoma State Department of Education.
Voluntary home visiting programs tailor services to meet the needs of individual families, and offer
information, guidance and support directly in the home environment. While home visiting programs, such as
Healthy Families America, the Nurse���Family Partnership, the Parent‐Child Home Program and Parents as
Teachers, share similar overall goals of enhancing child well‐being and family health, they vary in their
program structure, specific intended outcomes, content of services and target populations.
A growing body of research demonstrates home visiting programs that serve infants and toddlers, can be an
effective method of delivering family support and child development services, particularly when services are
part of a comprehensive and coordinated system of high quality, affordable early care and education, health
and mental health, and family support services for families prenatally through pre‐kindergarten.6
GOAL 8:
Work towards the establishment of a comprehensive system
of prevention programs available across the state
to families with risk factors for child abuse and neglect.
Strategy 1: The OSDH and the ITF will work with partners across the state to increase the number and
quality of center‐based parent support groups and parent education programs.
Strategy 2: The OSDH and the ITF will work with partners across the state to increase the number and
quality of home visitation services.
Measurable Outcomes:
1. Oklahoma implements programs with measurable outcomes that meet the needs of children
and families.
2. ITF coordinates and integrates program activities and funds for the prevention of child abuse
and neglect with regard to primary and secondary prevention.
3. Home visitation services are available and funded statewide.
TERTIARY PREVENTION
Tertiary prevention activities focus on families where maltreatment or identified challenges have already
occurred, seek to reduce the negative consequences of the maltreatment and to prevent its recurrence.
GOAL 9:
Include in the comprehensive system, prevention programs
focused on serving families identified by the child welfare, mental health,
substance abuse, and/or domestic violence systems.
Strategy 1: The OSDH and the ITF will support the Oklahoma Department of Human Services, Child
Welfare as they continue to implement the new Practice Model and Standards emphasizing child safety.
Strategy 2: The OSDH and the ITF will provide support in increasing the number and quality of mental
health services available to both adults and children.
Strategy 3: The OSDH and the ITF will provide support in increasing the number and quality of substance
abuse treatment services for both adults and children.
Strategy 4: The OSDH and the ITF will provide support in increasing the number and quality of domestic
violence services.
Strategy 5: The OSDH and the ITF will continue to explore the overlap between child abuse and domestic
violence incidents, investigations, as well as best practices for prevention and intervention.
CBCAP Annual Report and Application
57 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
Measurable Outcomes:
1. Implement Practice Model and standards leading to reduction in number of children entering
the child welfare system and improvement of care for those that do.
2. Mental health and domestic violence services available to meet the needs of all children and
families.
3. Integrate child abuse prevention strategies into mental health and domestic violence
programs.
Cultural competence is defined as a set of congruent behaviors, attitudes, and policies that come together in
a system, agency, or among professionals and enables that system, agency, or those professionals to work
effectively in cross–cultural situations. Operationally defined, cultural competence is the integration and
transformation of knowledge about individuals and groups of people into specific standards, policies,
practices and attitudes used in appropriate cultural settings to increase the quality of services; thereby
producing better outcomes.7
There are five essential elements that contribute to a system’s ability to become more culturally competent.
The system should (1) value diversity, (2) have the capacity for cultural self–assessment, (3) be conscious of
the “dynamics” inherent when cultures interact, (4) institutionalize cultural knowledge, and (5) develop
adaptations to service delivery reflecting an understanding of diversity between and within cultures.8
Furthermore, these five elements must be manifested in every level of the service delivery system. They
should be reflected in attitudes, structures, policies and services.
Valuing diversity means accepting and respecting differences. People come from very different backgrounds
and their customs, thoughts, ways of communicating, values, traditions, and institutions vary accordingly. The
choices that individuals make are powerfully affected by culture. Cultural experiences influence choices that
range from recreational activities to subjects of study. Even how one chooses to define family is determined
by culture.
As we further define a comprehensive approach for the prevention of child abuse and neglect, we must
attend to the unique culture of Oklahoma, recognizing our strengths and weaknesses.9
GOAL 10:
Promote and/or provide culturally appropriate services that maximize the
participation of various cultural and ethnic populations.
Strategy 1: The OSDH and the ITF will seek and provide to interested partners best practice and evidence‐based/
evidence informed models on a continual basis to assure appropriate services are available to
culturally diverse populations.
Strategy 2: The OSDH and the ITF will continue to redefine the components needed for the
comprehensive system as child abuse prevention programs’ populations evolve.
Measurable Outcomes:
1. Families are able to access needed services.
2. Workforce reflects diversity of families served.
CBCAP Annual Report and Application
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Oklahoma State Department of Health
Submitted June 6, 2011
1
www.parentsanonymous.org
2
framework for Prevention Child Maltreatment, www.childwelfare.gov
3
1) parental resilience; 2) social connections; 3) knowledge of parenting and child development; 4) concrete support in times of need; 5 social and
emotional competence of children; and 6) healthy parent‐child relationships.
4
Guidelines for CBCAP Lead agencies on Evidence‐based and Evidence Informed Programs and Practices: Learning Along the Way (Revised 11/13/07)
5
Guidelines for CBCAP Lead Agencies on Evidence‐based and Informed Programs and Practices FRIENDS National Resource Center for CBCAP (2007)
6
Statement of Mathew Melmed, Executive Director, Zero to Three, submitted to the subcommittee on income security and family support of the House
Committee on Ways and Means hearing on Early Childhood Home Visitation, June, 2009.
7
(Davis, 1997 referring to health outcomes)
8
Isaacs, M. and Benjamin, M. (1991). Towards a culturally competent system of care, volume II, programs which utilize culturally competent principles.
Washington, D.C.: Georgetown University Child Development Center (CASSP Technical Assistance Center
9
Knitzer, J. (1982). Unclaimed Children: The failure of public responsibility to children and adolescents in need of mental health services. Washington,
D.C.: U.S. Government Printing Office.
CBCAP Annual Report and Application
59 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
Section IX COLLABORATION AND
COORDINATION
CBCAP Annual Report and Application
60 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
COLLABORATION AND COORDINATION
(NOTE: some entries are duplicated from earlier sections)
􀂛 Annual Report Narrative
CBCAP Lead Agency (OSDH) and Child Maltreatment Prevention
Partnerships and Collaborations (Federal, State, Local, and Private Efforts)
THE INTERAGENCY CHILD ABUSE PREVENTION TASK FORCE
The Interagency Child Abuse Prevention Task Force (ITF) has a mandated membership of representatives
from: 1) public agencies with responsibilities for children and families, such as the Department of Health,
Department of Education, Department of Human Services, Department of Mental Health and Substance
Abuse, Office of the Attorney General and Judiciary/Law Enforcement agency; 2) private organizations such as
the American Academy of Pediatrics and the Oklahoma Partnership for School Readiness Board; 3) private
agencies and programs that specialize in the identification and intervention of child abuse and neglect; 4)
local government or business community; and 5) parents participating in a family resource and support
program. The Task Force is staffed by the OCAP. As directed by the CAP Act, the ITF reviews and evaluates all
prevention program proposals submitted to the OCAP for funding through the CAP Fund, reports findings to
the Oklahoma Commission on Children and Youth and makes recommendations to the Commissioner of
Health, the final authority for contract awards. The ITF with its broad representation and expertise assist the
OCAP in the development of the State Plan.
OKLAHOMA STATE PLAN FOR THE PREVENTION OF CHILD ABUSE AND NEGLECT
The State Plan written by the ITF and the OCAP is a compilation of findings, recommendations and efforts
spanning the continuum of child abuse and neglect prevention in Oklahoma. It is written with the
acknowledgment that the prevention of child abuse and neglect requires collaboration, coordination and
commitment of public agencies, private agencies, private citizens, prevention and intervention professionals
and the legal system.
OKLAHOMA COMMISSION ON CHILDREN AND YOUTH
Oklahoma law created the Oklahoma Commission on Children and Youth (OCCY), a state agency, to develop
and improve services to children and youth. The OCCY facilitates planning and coordination among public
and private agencies serving children and youth and provides administrative oversight for all children’s
programs and services. OCCY is mandated to ensure that the provisions of the CAP Act are implemented. Its
duties include: 1) the review and approval of the Oklahoma State Plan for the Prevention of Child Abuse and
Neglect; 2) the appointment of ITF members; 3) the appointment of CATCC members; and 4) the
recommendations of prevention program proposals for funding to the Commissioner of Health.
COMMUNITY PARTNERSHIP BOARDS
The Oklahoma Commission on Children and Youth, Office of Planning and Coordination is implementing the
visionary legislation passed in 1989 and 2000 by the Oklahoma Legislature, which developed the structure of
the Community Partnership Boards for Services to Children and Youth. A statewide planning process to
CBCAP Annual Report and Application
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Submitted June 6, 2011
develop the Oklahoma State Plan for Services to Children and Youth was also designed to coordinate public
and private efforts to improve services to children and youth at both the state and local level. These
responsibilities were placed under the auspices of the Oklahoma Commission on Children and Youth. The
legislation recognized that ownership and responsibility for finding solutions to children’s problems belongs
to local communities. In other words, the responsibility for assuring the future of Oklahoma’s families and
children must be shared by every citizen. Composed of local citizens and service providers, the purpose of
the Community Partnership Boards is to collaboratively plan and implement programs and services, which
benefit the children, youth and families in our communities. This structure unites communities across the
state around common issues and identifies unique concerns and strategies within communities.
Drawing on the diverse as well as common issues faced by the larger community, the Community Partnership
Boards created a mechanism for the boards to be working bodies of community leaders concerned with
children’s issues. They are the networks around which gaps, strengths, and needs in services to children,
youth, and families in communities may be identified using available reports, statistics, experiences, and
wisdom. Further, they can provide leadership and advocacy for the provision of family‐centered, community‐based,
culturally sensitive approaches to meeting the needs of Oklahoma’s children, youth and families. The
boards also provide an opportunity for networking with many child advocates and service providers. At this
time, there are forty‐four (44) active boards, statewide.
The statutory function of the Community Partnership Boards is to develop local plans of action that will
effectively move our communities towards improving services to children and youth. It is an opportunity to
provide a voice for the children, youth and families from local communities to the state and help focus
priorities through participation in the development and implementation of the Oklahoma State Plan for
Services to Children and Youth. The issues addressed in the Oklahoma State Plan for Services to Children and
Youth can cut across the myriad of problems of today’s families ... violence, education, jobs, poverty, juvenile
delinquency, deprived and neglected children, abuse, alcohol and drug abuse, teen pregnancy, and many
more. Many of the local boards have collaborated to successfully address specific needs in their communities
and across the state. Many of these efforts rely on planning and coordination of existing resources and
require little or no new money. Even in times of tight budgets, improved projects and programs can occur
with communication, coordination and planning.
STATE EARLY CHILDHOOD COMPREHENSIVE SYSTEMS (ECCS)
The Oklahoma State Department of Health (OSDH) Early Childhood Comprehensive Systems (ECCS) Project
works collaboratively with the Oklahoma Partnership for School Readiness (OPSR) Board and Smart Start
Oklahoma (SSO) to implement the Early Childhood Comprehensive State Plan. The mission of OPSR and ECCS
is to lead Oklahoma in coordinating an early childhood system focused on strengthening families and school
readiness for all children. If successful, it will be possible for all families with young children across the state
to access services when needed in the areas of parent education and family support, primary health care,
social and emotional support, and quality early care and education. The implementation of the early
childhood comprehensive state plan will help achieve the vision of all Oklahoma children entering school safe,
healthy, eager to learn and ready to succeed.
CBCAP Annual Report and Application
62 􀁹
Oklahoma State Department of Health
Submitted June 6, 2011
CHILD ABUSE TRAINING AND COORDINATION PROGRAM
As a part of the continuum, multidisciplinary and discipline‐specific training programs for professionals with
responsibilities affecting children, youth, and families are mandated responsibilities of the Child Abuse
Training and Coordination Program (CATC). This program provides training, technical assistance and
assessment of the developing and functioning county‐level multidisciplinary child abuse and neglect teams
throughout the state and improves education and training of professionals with responsibilities for children
and families. The CATC program works with the Child Abuse Training and Coordination Council (CATCC) and
Multidisciplinary Child Abuse and Neglect Teams (MDTs). Funding for the CATC Program and Council is
provided through state appropriations and the Children’s Justice Act Grant, a collaborative effort with the
Oklahoma Department of Human Services.
CHILD ABUSE TRAINING AND COORDINATION COUNCIL (CATCC)
Defined by the CAP Act, CATCC has the mandate to make available multidisciplinary and discipline‐specific
training on child abuse and neglect for professionals with responsibilities affecting children, youth and
families. The CATCC members (22 in all) establish multidisciplinary and discipline‐specific training guidelines
and objectives and make curricula recommendations to other agencies with professionals who have
responsibilities for children, youth and families.
In conjunction with the CATCC, the CATC program facilitates the multidisciplinary and discipline‐specific
trainings. The CATC Program provides training to child protective services, law enforcement, district
attorneys, judges, medical personnel, mental health consultants and other professionals. Specific trainings
have included: “Investigating Severe Neglect and Physical Injury of Children and Infants”, “Taking Your
Investigation to the Courtroom” and “Advanced Forensic Interviewing.”
Examples of partnerships of the CATC program are as follows: assists the Oklahoma Lawyers for Children
fall and spring trainings, the Oklahoma District Attorney’s Office Annual Summer Conference, Oklahoma
Association for Infant Mental Health Conference, the Oklahoma Department of Mental Health and Substance
Abuse and the 18th Oklahoma Conference on Child Abuse and Neglect and Healthy Families.
The CATC Program is expanding efforts to include children that witness Domestic Violence or Domestic
Violence homicides and Human Trafficking.
HOME VISITATION LEADERSHIP ADVISORY COALITION (HVLAC)
The Family Support and Prevention Service (FSPS) steers the efforts of the Home Visitation Leadership
Advisory Coalition (HVLAC) by convening, hosting, and facilitating home visitation meetings and providing this
as a networking opportunity. Members from various agencies and programs working at all levels, from
supervisory roles to the front lines, participate in this dynamic group that strives for best practice in home
visitation. Comprised of representatives from state agencies, such as the Oklahoma State University,
Oklahoma Health Sciences Center, public school districts, youth and family services agencies, Prevent Child
Abuse Oklahoma, parent‐child centers and other private non‐profits, the committee provides
recommendations to improve services. HVLAC coordinates efforts throughout the year on various activities
related to child abuse prevention (for child abuse prevention month and advocacy, for example) and best use
of funds for those involved in home visitation for child abuse prevention, school‐readiness, child abuse
intervention and early interventi